Infinx

Medical Billing and Coding

• Receive, review, and process requests for medical records from patients, healthcare providers, insurance companies, and other authorized entities
• Verify patient authorization forms and ensure legal requirements are met before releasing information
• Maintain compliance with HIPAA and other federal, state, and organizational privacy regulations
• Retrieve, scan, copy, and transmit medical records through approved methods
• Document all disclosures of protected health information in accordance with policies and procedures
• Respond to inquiries regarding medical record requests and release procedures
• Maintain accurate logs and records of requests, releases, and correspondence
• Identify and escalate complex privacy or compliance issues when necessary
• Collaborate with Health Information Management (HIM) staff, providers, and other departments
• Meet productivity, quality, and turnaround time standards

Medical Records Clerk, Coding

Accounts Receivable

• Flex across assigned functional areas (eligibility, demographics, billing, edit resolution, AR follow-up, and denial management) based on client volume, priority, and engagement need
• Verify active insurance coverage and benefits using payer portals, EDI 270/271 transactions, and direct payer outreach; document coverage details including effective dates, plan type, network status, copays, deductibles, coinsurance, and benefit limitations
• Determine primary, secondary, and tertiary payer order in accordance with coordination of benefits rules; identify Medicare Secondary Payer, workers' compensation, motor vehicle accident, and third-party liability scenarios
• Flag services requiring prior authorization, pre-certification, or referral and route to the appropriate team
• Review, correct, and validate patient demographic, guarantor, subscriber, and insurance plan data in the EHR, PMS, or registration system; resolve demographic-related rejections and registration errors at the root
• Submit clean claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels, working natively in client EHR and billing systems rather than exclusively via clearinghouse
• Resolve front-end claim edits, scrubber rejections, and pre-submission errors at the source system level, including demographic, eligibility, payer ID, modifier, diagnosis, and revenue code corrections
• Interpret and resolve NCCI procedure-to-procedure edits, MUE edits, LCD/NCD policy edits, and bundling logic
• Correct UB-04 and CMS-1500 field-level data including revenue codes, HCPCS, occurrence/conditions/value codes, modifiers, place of service, and rendering provider information as applicable
• Work aged accounts receivable, prioritizing high-dollar and high-aging balances to maximize cash collections
• Contact payers via phone, portal, and electronic inquiry to determine claim status, identify denial or pending reasons, and drive claims toward payment
• Research and resolve claim denials and underpayments by identifying root causes and taking corrective action (rebilling, reconsiderations, appeals, corrected claims, medical records submission)
• Prepare and submit written appeals with supporting clinical documentation, operative reports, and payer policy references
• Identify and pursue underpayments by comparing actual reimbursement against expected contract terms
• Manage payer follow-up across all payer classes including Medicare (Traditional and Advantage), Medicaid, commercial, managed care, workers' compensation, TRICARE, and VA
• Analyze rejection and denial trends to identify systemic issues and escalate with data-driven recommendations to leadership
• Collaborate with coding, charge capture, patient access, HIM, and client-side teams too resolve upstream issues impacting claim payment
• Document all account activity with clear, concise, and actionable notes in the source system
• Maintain productivity and quality standards in a high-volume, deadline-driven, metrics-oriented environment
• Maintain full compliance with HIPAA, payer guidelines, CMS regulations, and federal/state billing regulations at all times
• Assignments may shift across functional areas based on client needs and individual strengths within the scope of the revenue cycle

AR Specialist

Biller

• Process accounts receivable payments and adjustments
• Research and resolve AR discrepancies promptly
• Follow up on outstanding/aged receivables
• Maintain organized AR documentation
• Identify opportunities to improve AR processes
• Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
• Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
• Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
• Have strong proficiency in managing RTP and denied claims
• Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
• Adapt quickly to proprietary tools and technology

Hospital Medicare Biller

Customer Success Manager

• Serve as the primary point of contact and trusted advisor for a portfolio of Prior Authorization customers.
• Take ownership of customer success by proactively managing customer health, identifying risks, and driving resolution before issues escalate.
• Lead customer onboarding, implementation support, adoption planning, and ongoing success initiatives.
• Conduct regular business reviews with customers to communicate value, performance metrics, key accomplishments, and improvement opportunities.
• Monitor customer satisfaction, adoption, and engagement while developing action plans to improve outcomes.
• Collaborate cross-functionally with Operations, Product, Implementation, Engineering, Clinical teams, and Support to advocate for customer needs and resolve issues.
• Identify opportunities for service expansion, additional solutions, or strategic growth within existing accounts.
• Identify growth opportunities within accounts.
• Maintain accountability for assigned customer outcomes, retention, and long-term partnership success.
• Assist in other duties as assigned.

Customer Success Manager – RCM

• Accurately assign and appropriately sequence ICD-10 and CPT codes and all applicable modifiers
• Contact clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes
• Monitor regulatory and payer changes as they apply to diagnostic and procedure coding
• Research and resolve coding related system edits, payer rejections and insurance denials
• Identify system edit, payer rejection, and insurance denial trends for client policy and procedure improvement
• Maintain up to date knowledge of the current changes of coding practices by continuing education and reading resource material
• Other innovative and progressive duties as assigned

Specialty Coder – Orthopedics

Specialty Coder – Gastroenterology

• Review and analyze clinical documentation to assign accurate diagnosis, procedure, and service codes for facility and professional billing
• Code inpatient, outpatient, emergency department, observation, clinic, and ambulatory surgery encounters
• Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and applicable modifiers in accordance with official coding guidelines
• Ensure coding accuracy, completeness, and compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements
• Query providers when documentation lacks specificity necessary for accurate code assignment
• Participate in coding quality reviews, audits, and education initiatives
• Maintain productivity and quality standards established by the organization
• Research coding regulations, payer policies, and reimbursement guidelines
• Assist in denial management, appeals, charge capture reviews, and revenue cycle optimization efforts
• Support onboarding and mentoring of junior coding staff when assigned
• Assist in other duties as assigned.

Hospital Coding Specialist

Revenue Cycle Specialist

• Responsible for processing, reviewing, and filing insurance to the resolution of the claim payment.
• Assist patients with billing questions and the collection of patient balances.
• Perform various functions in the processing of insurance billing and collections, including Medicaid/Medicare claims according to the established policies and procedures.
• Collect and enter patient's insurance information into ACS Compumed System.
• Review, verify, and submit insurance claims.
• Process correspondence from Third Party Payors and respond to patient requests.
• Follow up with insurance companies and ensure claims are paid in a timely manner.
• Resubmit insurance claims that have received no response.
• Answer telephones and provide/obtain information to resolve billing and collection issues.
• Maintain supporting billing information for future reference or audit purposes.

• Own the customer success experience relationship with customers at various stages of their lifecycle post-close.
• Manage the relationship with key, strategic, enterprise accounts.
• Engage with Product and Engineering teams to incorporate and prioritize customer feedback.
• Collaborate with operational leaders to maximize customer results and reduce client escalations.
• Develop account plans for customers with customer-specific goals.
• Work in partnership with marketing to identify and amplify the narrative of customer success stories.
• Own the onboarding project schedules, including requirements analysis and priority negotiation.
• Manage cross-functional team meetings with customers and internal teams with a high level of detail, effective communication, and analytical skills.

Director of Customer Success

Backend Engineer

• Define and execute the product vision and strategy for the mid-cycle and backend RCM portfolio
• Lead the roadmap for coding, billing, payment posting, AR & denials, and analytics to deliver measurable improvements in efficiency, accuracy, and financial performance
• Partner closely with engineering and data teams in India to drive delivery excellence and foster cross-geo collaboration
• Develop and manage a team of high-performing product managers and analysts, promoting a culture of accountability and innovation
• Translate customer and market needs into actionable requirements and ensure products deliver strong ROI
• Drive initiatives that leverage AI, workflow automation, and advanced analytics to enhance revenue integrity and operational performance
• Collaborate with internal stakeholders across operations, sales, and implementation to ensure seamless product adoption and client success
• Monitor market trends and emerging technologies to maintain competitive differentiation in the RCM space

Senior Director of Product – Mid-Cycle and Backend RCM Platform

• Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters in accordance with official coding guidelines, AMA CPT guidance, and payer-specific policy
• Apply correct modifiers (including 25, 26, 27, 50, 59, XE/XP/XS/XU, LT/RT, and global period modifiers) to support accurate reimbursement and pass NCCI and global edits
• Code across ambulatory settings including clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services are assigned
• Review clinical documentation to confirm medical necessity and support code selection; submit compliant, non-leading physician queries when documentation is unclear, incomplete, or contradictory
• Apply correct sequencing of primary and secondary diagnoses and link diagnoses appropriately to procedures
• Identify and report charge capture errors, missing charges, and documentation deficiencies to the appropriate upstream owner
• Maintain coding accuracy at or above the client-defined threshold (typically 95%) and meet daily productivity targets (charts or encounters per hour, or RVU-based as defined by client)
• Document coding rationale and query activity clearly in the encoder, EHR, or coding workflow tool
• Resolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution
• Maintain current working knowledge of best coding practices, payer policy, and regulatory changes by accessing NCD, LCD, and coding policy resources and participating in continuing education
• Stay current with annual ICD-10-CM, CPT, and HCPCS code set updates, and MPFS final rules, and payer policy changes
• Maintain full compliance with HIPAA, CMS regulations, and fraud/abuse regulations including the False Claims Act
• Assignments may shift across ambulatory specialty areas based on client needs and individual strengths within the scope of the role

Coding Specialist

• Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations
• Oversee claim generation, claim validation, and claim submission processes.
• Monitor and resolve billing edits, front-end claim rejections, and payer submission issues
• Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution
• Ensure claims are submitted accurately and within established filing deadline
• Develop and implement processes to improve clean claim rates and reduce avoidable rework
• Monitor billing work queues and productivity standards
• Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues
• Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements
• Oversee Medicare AR follow-up activities for both HB and PB accounts.
• Monitor Medicare aging inventories and prioritize collection efforts.
• Manage resolution of unpaid, partially paid, and denied Medicare claims.
• Review and resolve RTP claims, denials, underpayments, medical necessity issues, coverage-related denials, and billing-related reimbursement delays
• Ensure timely and effective appeal submission when appropriate.
• Identify denial and AR trends and implement corrective action plans.
• Work closely with billing teams to address root causes impacting Medicare reimbursement

AR Manager, Medicare

Manager

• Own end-to-end planning for all assigned trade shows, including booth design, materials, swag, demos, and staffing.
• Coordinate with vendors, event organizers, and internal teams to ensure all logistics are confirmed and executed on time.
• Build and maintain detailed project plans with clear timelines, budgets, and accountability for each event.
• Work with marketing and sales leadership to define event goals, target audience, and success metrics.
• Leverage AI and automation tools to streamline planning workflows and improve efficiency.
• Be present onsite at major trade shows to oversee setup, manage booth operations, and support the sales team.
• Ensure booth staff are prepared, briefed, and equipped with the materials and information they need to succeed.
• Manage real-time problem solving and adjustments as issues arise during the event.
• Capture data, leads, and insights throughout the event to inform follow-up and measurement.
• Coordinate with sales and marketing to ensure timely follow-up on leads and opportunities generated at events.
• Analyze event performance against defined goals and report on ROI, lead quality, and engagement metrics.
• Document lessons learned and best practices to continuously improve our trade show program.
• Use data and insights to inform decisions about future event participation and investment.
• Build and maintain strong relationships with industry associations (HFMA, AAOE, RBMA, etc.) and event organizers.
• Partner closely with sales leadership to align event strategy with sales priorities and pipeline goals.
• Collaborate with marketing, product marketing, and customer success teams to ensure event messaging and materials are aligned with broader company positioning.
• Proactively identify opportunities to leverage AI and automation to improve trade show planning, execution, and measurement.
• Test and implement new tools and approaches that can help us scale our program more efficiently.
• Share learnings and best practices with the broader marketing team to elevate our overall approach to events.

Trade Show Manager

Human Resources

• Partner with specific business units and department leaders to align HR strategies with business objectives to support rapid expansion and operational efficiency
• Act as a coach and advisor to leaders on all aspects of talent management, organizational design, and team effectiveness
• Drive workforce planning and change management initiatives tailored to healthcare technology operations
• Provide data-driven guidance on workforce planning, talent strategies, and organizational design that scale with growth
• Advise leaders on organizational design, talent deployment, and role evolution as part of offshoring strategy as the company scales
• Design and implement scalable talent management frameworks (performance, succession, retention)
• Partner with Talent Acquisition to support high-volume hiring initiatives and onboarding processes
• Lead succession planning, performance management, and career development strategies to ensure resource alignment with company growth
• Foster a positive, inclusive, and productive work environment through engagement strategies and transparent communication
• Analyze employee engagement survey data and lead department-specific action plans
• Drive organizational restructuring, role clarity, and capability building to support growth, offshoring strategy, and evolving business needs
• Partner with managers to assess skills gaps in both technical and clinical functions
• Promote a learning culture by supporting relevant training and certification programs

HR Business Partner

• Design an deliver comprehensive enablement programs for Sales, Customer Success, and other revenue-facing teams
• Develop onboarding curricula for new hires that accelerate time to productivity
• Create ongoing training programs that keep teams updated on new products, features, messaging, and competitive positioning
• Build certification programs and learning paths that reinforce core skills and knowledge
• Deliver training through multiple formats including live sessions, self-paced learning, workshops, and hands-on practice
• Leverage AI tools to create more engaging, personalized, and scalable learning experiences
• Develop and maintain a library of enablement content including playbooks, battle cards, talk tracks, demo guides, and case studies
• Partner with Product Marketing to translate positioning and messaging into actionable sales and CS resources
• Work with subject matter experts to capture and codify best practices
• Use AI to streamline content creation, improve quality, and personalize resources for different audiences
• Maintain a centralized enablement hub that makes it easy for teams to find and use the resources they need
• Define success metrics for enablement programs and track progress against goals
• Gather feedback from participants and stakeholders to continuously improve program quality
• Analyze data on content usage, training completion, and business outcomes to identify what's working and what's not
• Use insights to refine enablement programs and demonstrate ROI
• Build dashboards and reports that provide visibility into enablement effectiveness
• Partner with Sales and CS leadership to understand business priorities and align enablement programs to key initiatives
• Collaborate with Product and Product Marketing to ensure teams are equipped to sell and support new launches
• Work with Recruiting and HR on onboarding and new hire ramp programs
• Build strong relationships with team members to understand their needs and challenges
• Proactively identify opportunities to leverage AI and automation to improve enablement workflows and outcomes
• Test and implement new AI tools for content creation, training delivery, and performance management
• Share best practices and learnings with the broader team to elevate our overall approach to enablement
• Stay current on emerging enablement technologies and methodologies.