GT Independence

Medical Billing and Coding

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
• Submit invoices to agencies
• Applies payments
• Collects on unpaid claims
• Prepares advance reconciliations and applies payments to the general ledger
• Enters information into computer databases for effective record keeping
• Collaborates with other staff members to optimize delivery of services
• Ensures all compliance standards are met for audit purposes
• Maintains confidentiality of records relating to clients
• Identifies opportunities to improve our processes
• Upholds company values and mission
• Other duties as assigned

Medical Claims Specialist – Billing

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency
• Submit invoices to agencies
• Applies payments and collects on unpaid claims
• Prepares advance reconciliations and applies payments to the general ledger
• Enters information into computer databases for effective record keeping
• Collaborates with other staff members to optimize delivery of services
• Ensures compliance standards are met for audit purposes
• Maintains confidentiality of records relating to clients
• Identifies opportunities to improve processes

Enrollment Specialist

• Conducts the enrollment process with the person served and their circle of support in a timely manner.
• Ensures enrollment documents are complete and accurate.
• Recommends improvements to internal process/systems to prevent future issues and to enhance service experience.
• Maintains confidentiality and HIPAA compliance.
• Upholds company values and mission.

• Conducts the enrollment process with the person served and their circle of support (i.e., families, guardians) in a timely manner
• Ensures enrollment documents are complete and accurate
• Recommends improvements to internal process/systems to prevent future issues and to enhance service experience
• Maintains confidentiality and HIPAA compliance
• Upholds company values and mission
• Other duties as assigned.

• Conducts the enrollment process with the person served and their circle of support (i.e., families, guardians) in a timely manner.
• Ensures enrollment documents are complete and accurate.
• Recommends improvements to internal process/systems to prevent future issues and to enhance service experience.
• Maintains confidentiality and HIPAA compliance.
• Upholds company values and mission.
• Other duties as assigned.

Strategy

• Establish and lead a best-in-class Product Management function
• Define and evolve product strategy aligned to business objectives and customer needs
• Drive adoption of modern product management practices
• Define prioritization frameworks to align strategic initiatives with business and operational needs
• Partner with business and technology leadership to align product development with business value
• Drive alignment across product, engineering, and operations
• Oversee Launch & Enablement team to support effective rollout and adoption of solutions
• Serve as a strategic partner to the CEO and executive team on product direction and transformation priorities

Head of Digital – Strategy

• Be the point person for questions from team members
• Coordinate answers with agencies and/or internal departments including Operations
• Sign off/approve credit memos and employee receivables
• Audit team performance, monitor team metrics and manage claims process
• Train new employees and existing employees in department procedures and agency requirements
• Assist in developing claims procedures for all new agencies
• Prepare A/R reports for team’s agencies
• Work with team members and agencies to collect outstanding payments
• Communicate with Claims Manager about training issues, agency challenges, unbilled items, and A/R issues
• Attend trainings, conferences and staff meetings

Medical Billing Supervisor

• Be the point person for questions from your team members.
• Coordinate answers with agencies and/or internal departments including Operations.
• Sign off/approve credit memos and employee receivables.
• Assist with administrative accounting procedures per Controller/CFO.
• Audit team performance, monitor team metrics and manage claims process.
• Train new employees and existing employees in department procedures and agency requirements.
• Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.
• Prepare A/R reports for your team’s agencies to monitor unpaid claims.
• Work with team members and agencies to collect outstanding payments.
• Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.
• Attends trainings, conferences and staff meetings.
• Participates in company continuous improvement processes.
• Upholds company values and mission
• Other duties as assigned

Medical Billing, Claims Supervisor

• Establish and lead a best-in-class Product Management function, including operating model, governance, and talent
• Define and evolve product strategy aligned to business objectives and customer needs
• Drive adoption of modern product management practices, including roadmapping, backlog management, and customer-centric design
• Define prioritization frameworks to align strategic initiatives with business and operational needs
• Partner with business and technology leadership to align product development with business value and long-term platform strategy
• Drive alignment across product, engineering, and operations to enable coordinated, scalable delivery
• Oversee Launch & Enablement team to support effective rollout and adoption of solutions
• Serve as a strategic partner to the CEO and executive team on product direction and transformation priorities

Compliance

• Ensure compliance requirements are met within assigned region.
• Monitor federal and state regulations, minimum wage laws, and contract requirements.
• Notify relevant departments of changes.
• Serve as the primary point of contact for compliance inquiries within the region.
• Provide timely responses and guidance.
• Oversee contract reporting and manage policies and procedures (P&Ps).
• Maintain organizational and regulatory standards through internal and external audits.
• Handle Performance Improvement Plans (PIPs) and Corrective Action Plans (CAPs).
• Investigate Fraud, Waste, and Abuse incidents, Privacy and HIPAA related incidents, and other Critical Incidents.
• Manage Criminal Background Check (CBC) reviews.

Regional Compliance Coordinator

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency
• Submit invoices to agencies
• Applies payments
• Collects on unpaid claims
• Prepares advance reconciliations
• Enters information into computer databases for record keeping
• Collaborates with other staff members
• Ensures all compliance standards are met for audit purposes
• Maintains confidentiality of records relating to clients
• Identifies opportunities to improve processes

Medical Billing – Claims Specialist

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions regarding billing and encounter data
• Submit invoices to agencies
• Apply payments and collect on unpaid claims
• Prepare advance reconciliations and apply payments to the general ledger
• Enter information into computer databases for effective record keeping
• Collaborate with other staff members to optimize delivery of services
• Ensure all compliance standards are met for audit purposes
• Maintain confidentiality of records relating to clients
• Identify opportunities to improve processes

Medical Billing, Claims Specialist

Learning and Development

• Partner with SMEs, leadership, and stakeholders to identify training needs and define learning objectives
• Create multimedia aspects of training content such as gamification techniques, video, audio, infographics, handouts, and instructional guides
• Manage course updates, 508 compliance, and version control to ensure accuracy and accessibility
• Develop and implement methods to measure training effectiveness
• Analyze feedback and data to identify gaps and drive continuous improvement

Medical Claims Specialist – Billing

Medical Claims Specialist – Billing

Enrollment Specialist

Enrollment Specialist

Enrollment Specialist

Enrollment Specialist

Head of Digital – Strategy

Medical Billing Supervisor

Medical Billing, Claims Supervisor

Head of Digital – Strategy

Head of Digital – Strategy

Regional Compliance Coordinator

Medical Billing – Claims Specialist

Medical Billing, Claims Specialist

Instructional Designer