Carle Health

Accounts Receivable

• Manage accounts receivable in compliance with regulatory and billing guidelines
• Collection of outstanding receivables through payer portals and phone lines
• Responsible for accurate billing of insurance claims and following up on outstanding receivables
• Work collaboratively with other departments to ensure claims are processed correctly

Accounts Receivable Insurance Specialist – Hospital Billing, Epic

Financial Planning and Analysis

• Research, resolve, document, and respond to inquiries related to hospital and professional accounts
• Take incoming calls and face-to-face interactions from patients
• Collaborate with internal departments to resolve account discrepancies
• Perform financial counseling and assist with applications for Financial Assistance programs

Patient Financial Services Representative – Healthcare Billing, Insurance, Estimates, Patient Support Experience

Insurance

• process insurance prior authorizations (PA) submissions
• analyze information required for pre-authorizations
• coordinate denial follow-ups and process FMLA/Disability paperwork
• cross-train for additional office/scheduling support

Insurance Pre-Authorization Specialist - Ortho

Supply Chain

• Provide customer service and support by timely distribution of supplies
• Perform daily inventory checks on supply carts
• Assist in receiving functions and verify shipment contents
• Rotate stock and monitor supplies for expiration
• Collaborate with Inventory Coordinator to keep warehouse organized
• Perform courier role to transport mail and supplies
• Maintain accuracy and efficiency of deliveries

Supply Chain Associate

Counselor

• Provide outpatient mental health counseling and substance use treatment
• Perform mental health/substance use evaluations
• Develop treatment plans with specific goals
• Maintain patient records and confidentiality
• Communicate with referring providers about patient progress

Addictions Counselor, LSW/LPC – Addiction Recovery

Therapist

• Assists therapist with patient care – vitals, transfers, exercises, testing
• Responsible for the safety of patients while assisting the therapists with delegated tasks
• Responsible for correct timing of certain treatments and executing assigned routine treatments
• Responsible for cleanliness of working area and equipment

Therapy Tech – Ortho/Sports Med

• Provides psychosocial assessments and treatment to patients and or families related to adjustment to illness and discharge planning.
• Provides education and support to patients and their families to encourage compliance with medical and behavioral regimes.
• Provides individual, family and group therapy as appropriate to setting.
• Assists with assessment and treatment of behavioral issues in the hospital, including consultation.
• Maintains effective communications with staff and attending physicians related to patient care, psychosocial and psychiatric needs.
• Provides brief interventions utilizing evidence-based techniques such as behavioral activation, motivational interviewing and cognitive behavioral techniques.
• Documentation consistent with established policy and procedures to create a permanent patient record.
• Assists, and serves as a resource to the case management team with referring to treatment or community agencies as appropriate.
• Provides group therapy to inpatients daily as required by schedule.
• Collaborates with Consult Liaison team to facilitate the management of complicated mental health cases.
• Consultation with multidisciplinary treatment team members in all areas of the hospital on the assessment, treatment and discharge planning of patients with mental health problems.

Therapist, LSW/LPC – Mental Health Services

• Orders, receives and delivers items necessary for operation of service areas.
• Assists in care and minor maintenance of facility.
• Assists and directs vendors as needed.
• Assists with deliveries as they are brought to the delivery area.
• Responsible for ensuring the various departments within the building have the supplies, linen and equipment needed to provide patient care.
• Receives deliveries from Carle couriers as well as other external vendors.
• Delivers medications and supplies to various departments throughout the building in a timely manner.
• Performs clerical duties involved in ordering and maintaining of appropriate amount of supply and linen inventory.
• Works with corporate Purchasing for tracking and follow-up of any pending supply orders and provides timely updates to the appropriate individuals.
• Assists with overall maintenance and security of buildings and grounds and arranges for servicing and repair of medical equipment.
• Monitors and maintains linen room and biohazard room.
• Assists in the pick-up of soiled linen, oxygen tanks and confidential records and ensures these items are available for the vendor as needed.
• Assists in the supply ordering for other locations in the organization as needed.
• Provides additional building support as needed.

Operations

• Performs formal psychological assessment with patients under the direction of a licensed Psychologist
• Communicates assessment process to patients and family members
• Structures the assessments to adapt to patient needs and maintain accurate results
• Administers and scores various advanced psychological assessments to patients from infant to geriatric

Psychometrist – Neuropsychology

Vice President

• Provides executive leadership to the VP of Epic & Clinical Systems, managing the optimization of Epic and ancillary clinical applications to improve provider and patient experience.
• Ensures the reliability, optimization, and clinical alignment of the EHR and ancillary systems to enhance provider efficiency, patient safety, and care quality.
• Partners with clinical and operational leaders to prioritize enhancements, manage change, and maximize value from clinical technology investments.
• Defines and executes an enterprise technology roadmap aligned with organizational strategy, balancing innovation, risk, and operational excellence.
• Oversees disciplined portfolio, program, and project management to ensure timely delivery of high impact initiatives with measurable outcomes.
• Leads the health system’s Director of PMO and Project Delivery to ensure that enterprise-wide technology initiatives are executed with precision and aligned with Carle Health’s strategic roadmap.
• Provides executive leadership to the Executive Director of Enterprise Systems, overseeing the management and long-term sustainability of business-critical platforms, specifically Workday.
• Maintains a critical dyad partnership with the ACMO, Chief Informatics Officer, and provides matrixed leadership to the Medical Director of AI and Innovation to identify and adopt emerging technologies that enhance care delivery.
• Ensures resilient, secure, and highly available infrastructure supporting 24/7 clinical and business operations across all sites of care, including oversight of the service desk, telecommunications, and regional information technology needs.
• Collaborates closely with executive, physician, nursing, and operational leaders to align priorities, expectations, and execution across the organization.

Senior Vice President, Chief Technology Officer

Manager

• Responsible for the operational performance in a medical office practice
• Monitor the activities of all office operations components to ensure the clinic meets its objectives
• Advise and seek consent from the organization's leadership team
• Provide leadership within the clinic(s)
• Ensure effective, efficient office operations and optimizing performance
• Oversee the day-to-day management of the office including the coordination of clinic operations
• Establish work schedules, review staffing needs, and supervise and train staff in good patient relations and office policies and procedures
• Identify and resolve operational issues and day-to-day oversight and responsibility
• Responsible for financial operations of the clinic including accounts payable
• Provide timely and accurate preparation and submission of biweekly payroll reports
• Review monthly financial statements
• Create a culture of innovation, learning, teamwork and professional practice

Patient Care Manager, Express Care & Prov Float Pool

Customer Support

• Acts as a liaison between patients, providers, clinic staff, and leadership to promote a positive, coordinated patient experience.
• Supports service excellence initiatives aligned with organizational values, patient experience standards, and regulatory requirements.
• Receives, investigates, and facilitates resolution of patient complaints and grievances in collaboration with clinic leadership and appropriate departments.
• Proactively rounds in clinic areas to identify patient needs, barriers to care, or opportunities to improve service and communication.

Customer Services Liaison – Outpatient CV Services

• Provides enterprise leadership to align quality improvement, patient safety, and clinical excellence strategies with system goals
• Ensures consistent performance expectations and outcomes across regions, service lines, and care settings
• Maintains a formal dyad partnership with the ACMO and Chief Quality Officer to align High Reliability Organization (HRO) principles
• Serves as the executive sponsor responsible for aligning patient experience and service excellence priorities across the system
• Directs the enterprise strategy for effective clinical onboarding, competency development, and ongoing professional education
• Oversees Clinical and Business Intelligence to align performance measurement with enterprise improvement priorities
• Collaborates closely with executive, physician, nursing, and operational leaders to align priorities

Senior Vice President, Care Excellence

Security Engineer

• Provide a safe environment for patients, visitors and staff in the Behavioral Health service line
• Assists in the creation and maintenance of a safe, caring, nurturing, healing, and educative environment
• Ensures patient, visitor and staff safety by following policies/procedures and adhering to the National Patient Safety Goals
• Sets behavioral limits on patients according to hospital and ED policies
• De-escalates patients utilizing CPI techniques
• Takes initiative in making decisions and taking immediate action to ensure safety
• Participates in patient and staff debriefing
• Interfaces effectively with Behavioral Health, ED and Security staff to promote a safe environment
• Completes electronic event reports as indicated
• Obtains pertinent clinical data from patients/significant others seeking Behavioral Health Services
• Answers all calls in a timely manner
• Ensures patients are treated with respect and dignity
• Documents assessment thoroughly using assessment forms.
• Incorporates Recovery principles in all therapeutic interventions

Behavioral Health & Security Associate – BH Intake Unit

Medical Billing and Coding

• Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines.
• Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes.
• Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards.
• Share results of quality reviews to HIM Leadership with recommendations for education and training.
• Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews.
• Identify coder training needs, system issues, and/or documentation issues and report them timely to HIM leadership.
• Review and respond to coding denials and coding questions as requested or assigned and perform clinical validation of appeal letters as needed.
• Participate in system and new application testing as needed.
• Provide denial trending data to leadership as requested.
• Develop and perform HIM coding team member group education on coding topics identified during quality reviews and denial reviews.

Accounts Receivable Insurance Specialist – Hospital Billing, Epic

Patient Financial Services Representative – Healthcare Billing, Insurance, Estimates, Patient Support Experience

Insurance Pre-Authorization Specialist - Ortho

Supply Chain Associate

Addictions Counselor, LSW/LPC – Addiction Recovery

Therapy Tech – Ortho/Sports Med

Therapist, LSW/LPC – Mental Health Services

Supply Chain Associate

Psychometrist – Neuropsychology

Senior Vice President, Chief Technology Officer

Patient Care Manager, Express Care & Prov Float Pool

Customer Services Liaison – Outpatient CV Services

Senior Vice President, Care Excellence

Behavioral Health & Security Associate – BH Intake Unit

HIM Cert Coder, Quality Review Analyst