Crossroads

Business Intelligence Developer

• Support business partners with effective communication on metrics, benchmarks, and KPIs, with a special focus on financial and patient outcomes opportunity for new and existing projects
• Explore healthcare data sets and perform statistical analyses to discern and communicate business and industry trends using both new and established analytical solutions
• Prepare and communicate high-quality department reports on a set cadence (e.g., weekly, monthly, quarterly) using available technology (i.e., Excel, SQL, Power BI, R, etc.)
• Identify opportunities for business optimization through use of financial and operational data to influence short- and long-term strategy
• Work across departments to collaboratively design, develop, document, train, and implement new data solutions and processes based on stakeholder needs
• Gather requirements to translate technical and business needs; liaise between IT and business stakeholders to optimize tradeoffs
• Ability to collaborate with stakeholders with minimal supervision and quickly analyze/present data in meaningful ways
• Enthusiasm for a fast-paced environment, continual change, and learning corporate applications/new software products as necessary to fully support the business.

Business Intelligence Analyst

Medical Billing and Coding

• Performs all duties and responsibilities in accordance with local, state, and federal regulations and company policies
• Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to professional claims, governmental and/or non-governmental claims, denied claims, aged accounts, high priority accounts, high dollar accounts, reimbursements, credits, etc.
• Leverage available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolutions, document all activity in accordance with organizational and client policies
• Communicate professionally (in all forms) with payer resources to include websites/payer portals, e- mail, telephone, customer service departments, etc.
• Maintain quality and productivity results at a level that meets departmental standards as measured by a daily/weekly/monthly average
• Reviews claims data and supporting documentation to identify coding and/or billing concerns
• Ability to interpret payer contracts and identify contract variances affecting reimbursement
• Utilize knowledge of the cash posting processing to obtain the necessary information to resolve misapplied payments
• Demonstrate clear proficiency in third-party billing requirements to include federal, state, and commercial/managed care payers
• Interpret claim scrubber edits/rejections and takes appropriate action necessary to resolve issues
• Seek resolution to problematic accounts and payment discrepancies
• Prepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution
• Analyze accounts with critical thinking; consider payer contracts and billing guidelines to ensure one-touch resolution
• Further responsibilities may include reviewing insurance credit balances to determine root cause and take the steps necessary to resolve the account
• Identify denials trends, root cause, and A/R impact
• Serve as a resource to other team members and assist Team Leads with identifying A/R and denials trends
• Other Duties as Assigned.

Accounts Receivable Specialist – Medical Billing

Counselor

• Provides individual counseling to highly complex patients
• Conducts clinical assessments to appropriately assess patient’s treatment needs
• Designs and updates the patient’s treatment plan, including care coordination, referrals, and discharge planning
• Manages assigned caseload and compliance with clinical treatment requirements
• Collaborates with nurses and providers to provide holistic treatment services
• Facilitates urine drug screening for patients

Substance Abuse Counselor – OTP

Human Resources

• The EHR Clinical Application Trainer designs, delivers, and evaluates training for clinical and operational staff on the electronic health record (EHR) and related clinical applications.
• This role partners with clinical leaders, analysts, and operational stakeholders to translate and document workflows into effective training, support go-lives and optimization, and promote safe, compliant, and efficient system use.
• Develop role-based curricula, lesson plans, training guides, tip sheets, and eLearning content for EHR workflows.
• Deliver instructor-led, virtual, and at-the-elbow training for providers, nurses, RDs, front desk, billing/RCM, and ancillary teams.
• Build and maintain training environments, scenarios, and practice exercises aligned to real workflows.
• Manage Sandbox environment testing and documentation.
• Translate current-state and future-state workflows into clear training and job aid.
• Reinforce standardized workflows and best practices to improve patient safety, documentation quality, and efficiency.
• Track attendance, competency completion, and training outcomes; maintain records in an LMS or internal tracking tools.
• Conduct skills assessments, proficiency checks, and post-training evaluations; adjust content based on feedback and performance trends.
• Work closely with providers, nursing leadership, clinic managers, IT, and quality teams.

EHR Clinical Applications Trainer – East Coast

• Provides individual counseling to highly complex patients.
• Conducts clinical assessments to appropriately assess patient’s treatment needs.
• Designs and updates the patient’s treatment plan, including care coordination, referrals, and discharge planning.
• Manages assigned caseload and compliance with clinical treatment requirements.
• Collaborates with nurses and providers to provide holistic treatment services.
• Facilitates urine drug screening for patients.

Substance Abuse Counselor

Manager

• Connect with patients monthly to address any needs and provide the resources to fulfill those needs
• Connect and maintain relationships with community partners for patient resources
• Work closely with a dedicated team to provide exceptional patient care
• Participate in community awareness/engagement events to promote Crossroads, our mission, our principles, and our approach to addiction treatment

Business Intelligence Analyst

Accounts Receivable Specialist – Medical Billing

Substance Abuse Counselor – OTP

EHR Clinical Applications Trainer – East Coast

Substance Abuse Counselor

Care Manager