Overview:

Benefits: 

Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.

$5,250 Tuition Reimbursement per year. 

40 hours paid volunteer time off. 

A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact

12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 

401(k) Match

Profit-sharing program 

Responsibilities:

Responsibilities

•    Monitor vendor performance against service level agreements (SLAs) and key performance indicators (KPIs) to ensure they meet operational and compliance standards. (25%)

•    Perform quality control reviews to monitor the accuracy and timeliness of HPS authorization. (25%)

•    Based upon observations from quality audits, identify training needs and collaborate to train internal clinical operational areas and vendor teams, such as billing, coding, and patient care, to integrate the authorization services smoothly into the overall RCM process. (15%)

•    Identify and resolve issues related to vendor performance and HPS authorization processes. (15%)

•    Drive continuous improvement initiatives with vendors to enhance service delivery and patient outcomes. (10%)

•    Develop and maintain strong relationships with external vendors specializing in the HPS authorization services. (5%) •    Facilitate regular reviews and audits to ensure adherence to healthcare regulations and standards, including HIPAA. (5%)

•    Stay updated with changes in healthcare regulations and industry best practices to ensure vendor services remain compliant and effective.

•    Performs other duties as necessary

Qualifications:

Qualifications

•    Strong understanding of healthcare processes, especially patient authorization and compliance requirements.

•    Excellent training and relationship management skills.

•    Strong analytical and problem-solving abilities.

•    Exceptional communication and interpersonal skills.

•    Proficiency in healthcare IT systems and software. 

•    Experience with electronic health records (EHR) systems-preferably Epic