Healthrise

Auditor

• The Cash Posting Auditor within Revenue Cycle Management oversees the accuracy, integrity, and compliance of all cash posting procedures in the revenue cycle department.
• This role is responsible for conducting thorough audits, reviews, and analyses of payment posting operations to detect discrepancies, reduce risk, and enhance payment posting and reconciliation processes.
• Ensure adherence to internal policies, standard operating procedures (SOPs), and regulatory requirements.
• Identify root causes of posting discrepancies or variances and recommend corrective action plans.
• Verify balancing accuracy between payments received and posted in financial systems.
• Track audit findings, trends, and areas of opportunity; report insights to leadership with recommendations.
• Support ongoing improvement initiatives to strengthen the accuracy and timeliness of cash application processes.
• Ensure proactive reconciliation and resolution of unapplied or misapplied payments.
• Prepare comprehensive audit reports, findings summaries, and recommendations for management review and dissemination and communicate audit results, trends, and insights to stakeholders to facilitate informed decision-making and process improvement efforts.
• Collaborate cross-functionally with Cash Posting Representatives, Supervisors, and Revenue Cycle teams to reinforce best practices.
• Participate in training and coaching efforts to support quality improvement and compliance.
• Performs other duties as assigned by Supervisor or Director.

Cash Posting Auditor

Operations

• Operate, maintain, and optimize Azure infrastructure and platform services in production.
• Manage Azure DNS, including API-based DNS automation and lifecycle management.
• Administer Azure networking components (vNets, routing, private endpoints, service integration).
• Ensure availability, resiliency, and security of Azure-hosted workloads.
• Operate and support Azure Kubernetes Services (AKS) clusters in production.
• Manage cluster lifecycle, upgrades, node pools, and scaling.
• Troubleshoot containerized workloads, networking, and storage within AKS.
• Partner with engineering teams to ensure Kubernetes workloads are production-ready.
• Serve as a Linux Systems Administrator for Azure-hosted systems and AKS nodes.
• Perform provisioning, patching, performance tuning, monitoring, and security hardening.
• Operate and support Azure Virtual Desktop environments.

IT Operations Engineer

Billing Specialist

• Performs daily billing activities, including resolving billing edits and rejected claims to ensure accurate and timely claim submission
• Identifies routine billing issues and resolves or escalates them as appropriate
• Maintains working knowledge of state and federal laws related to insurance contracts and payer billing timelines
• Investigates and addresses overpayment and underpayment accounts to optimize reimbursement
• Applies payer rules, contracts, schedules, and related data to ensure claims are billed accurately and timely
• Researches payer trends and provides feedback to improve billing accuracy and operational efficiency
• Tracks and reports denial types and root causes, recommending process improvements
• Analyzes, categorizes, and resolves claim rejections from commercial, government, and managed care payers
• Documents all actions and follow-up activities in the patient accounting system
• Responds to patient and payer inquiries or refers them appropriately
• Prepares and submits reports documenting billing trends, outcomes, and claim activity
• Interprets data, draws conclusions, and reviews findings with supervisor
• Cross-trains in various functions to enhance service delivery
• Maintains knowledge of applicable federal, state, and local laws and regulations

Billing Representative

• Oversee the PB Urgent Care Revenue Cycle, ensuring operational effectiveness and regulatory compliance.
• Serve as the primary Professional Billing point of contact for urgent care stakeholders.
• Prepare and present performance summaries and insights to leadership and cross-functional partners.
• Directly manage professional billing team members supporting urgent care.
• Approve employee timecards and PTO requests, and review and approve vendor invoices in alignment with departmental policies and budgets.
• Collaborate with accounting and finance on reconciliation, forecasting, and variance analysis.
• Manage vendor performance for all in-scope functions for Urgent Care in accordance with contractual requirements.
• Conduct regular performance reviews and drive vendor accountability and optimization.
• Support the planned workforce transition and develop go-forward plan for legacy AR management.
• Evaluate current performance indicators, establish baseline standards, and implement streamlined workflows to promote seamless operations and maximize productivity.
• Monitor and analyze key performance metrics to identify opportunities for improvement and advance operational efficiency.
• Partner with leadership to update SOPs and implement process enhancements that support compliance and efficiency.
• Monitor daily work queues to ensure appropriate prioritization, productivity, and timely resolution.
• Configure Epic system settings as needed to support operations.

Cash Posting Auditor

IT Operations Engineer

Billing Representative

Director of Operations – Urgent Care