Limitlessli

Artificial Intelligence

• Design, implement, and optimize AI-driven systems, workflows, and business processes across healthcare-related client accounts
• Develop and execute AI roadmaps for healthcare-client operations, focusing on automation, accuracy, and operational scalability
• Identify opportunities to integrate AI tools into processes such as patient scheduling, medical coding support, RCM, eligibility verification, clinical documentation support, and population health workflows
• Build and evaluate proof-of-concept AI solutions (chatbots, workflow automation, RPA, LLM-powered assistants, QA automations, etc.)
• Partner with engineering and client stakeholders to ensure smooth deployment of AI systems into EMR/EHR workflows
• Conduct workflow assessments to identify bottlenecks, inefficiencies, and automation opportunities
• Redesign business processes to improve speed, reduce cost, and enhance accuracy
• Build KPI frameworks, operational dashboards, and performance benchmarks for healthcare teams
• Standardize SOPs for remote teams interacting with sensitive medical data
• Ensure all AI tools and redesigned workflows meet HIPAA, HITECH, and organizational security standards
• Perform risk assessments on data flows involving PHI/PII
• Collaborate with the compliance team to maintain secure EMR/EHR access protocols for remote staff
• Train internal teams and clients on compliance-aligned use of AI systems
• Work with remote healthcare staffing teams to integrate AI-driven tools into daily operations
• Advise executive leadership on AI trends within the healthcare industry and remote workforce space
• Translate technical AI concepts into clear business impacts for non-technical stakeholders
• Guide clients through change management related to new workflows and technology adoption

AI Strategy, Business Optimization Consultant – Healthcare, HIPAA, EMR

Human Resources

• Oversees daily operations of HRIS system including new hire set up, benefits enrollment, leave administration ad-hoc reporting, etc.
• Monitors employee eligibility for benefits plans.
• Reviews benefits with employees and processes enrollment, cancellation or changes, change reporting, approving invoices for payment.
• Assists in annual open enrollment communications and election process.
• Maintains and distributes list of new and cancelled employees under each benefit plan.
• Verifies benefit billing accuracy and processes for payment.
• Ensures compliance with USCIS Form I-9 Employment Eligibility Verification; periodically audits Forms I-9.
• Maintains employee personnel files.
• Reports, maintains and monitors all workers' compensation case files; follows-up on open cases.
• Works with HR Leadership to Coach, counsel and guide managers before executing employee disciplinary actions.
• Administers various human resource plans and procedures for all organization personnel; assists in the development and implementation of personnel policies and procedures.
• Develops and maintains affirmative action program; files EEO-1 report annually; and maintains other records, reports and logs to conform to EEO regulations.
• Assists in evaluation of reports, decisions and results of department in relation to established goals.
• Recommends new approaches, policies and procedures to continually improve efficiency of the department and services performed.
• Conducts recruitment effort for non- clinical staff, post job advertisements; works with hiring manager to screen and interview candidates; conducts reference checking; extends job offers; Conducts exit interviews
• Administers leave
• Maintains compliance with federal, state and local employment and benefits laws and regulations

HR Generalist

Manager

• Conducts telephonic visits with clients to complete assessments, review recent hospital or ER visits, provide disease management education, and address flagged client needs.
• Responsible for meeting productivity standards set by the organization.
• Works with other members of the team to meet KPI’s and program targets.
• Utilizes critical thinking skills to ensure client needs are prioritized.
• Support program enrollment and monitor participation.
• Support clients who are post-discharge from hospitalization, emergency department, or skilled nursing facilities.
• Communicate findings as needed to the clients’ primary care physician and/or specialists.
• Document communication with clients, caregivers, and providers timely and accurately.
• Connect clients to care and support: (Not limited to): Behavioral Health Condition Managemento Benefits Engagement Provider Referrals Educate client, caregiver, and family as appropriate and provide information on available community resources.
• Review client needs/referrals as identified by caregivers and others - ensure appropriate follow-up occurs.
• Seek clarification from caregiver and client as needed to formulate clinical judgement for next best actions.
• Document accordingly in the EHR and other software no later than 24 hours after client contact.

Case Manager, USRN

• Monitor telehealth call queues to ensure calls are answered within target response times
• Track and follow up on all missed or abandoned calls to ensure timely resolution
• Oversee call center operations to confirm calls are properly transferred to providers
• Identify and escalate operational or staffing issues that may impact service delivery
• Maintain shift logs and communicate handoff notes to incoming managers or leadership
• Collaborate with clinical and operations teams to ensure seamless coordination of care
• Monitor KPIs (call volume, response time, call resolution) and report shift performance

Telehealth Shift Manager

Account Manager

• Hold the client relationship, communication and reporting for assigned clients.
• Coordinate and oversee patient care plans in collaboration with physicians, therapists, and nursing staff.
• Manage MDS (Minimum Data Set) assessments to ensure timely and accurate submission.
• Review, monitor, and manage managed care authorizations.
• Participate in triple check processes to ensure accuracy of billing, coding, and clinical documentation.
• Communicate regularly with insurance providers, patients, and families regarding care plans and coverage.
• Monitor patient progress, outcomes, and transitions of care.
• Maintain compliance with regulatory requirements, company policies, and professional standards.
• Serve as a resource for staff education and training related to managed care, MDS, and documentation standards.
• Assist with audits, reporting, and quality assurance initiatives.

Clinical MDS Account Manager

Payroll

• Perform all duties related to CHE payroll function, including the review, correction, and approval of payroll data prior to processing paychecks.
• Ensure clinicians are paid at authorized rates and in compliance with company policies and IRS regulations.
• Enter and update rates when fee structures or pay schedules change.
• Collaborate with clinical staff to confirm that services provided are accurately reported and paid at correct rates in a timely manner.
• Respond promptly and professionally to requests for information and payroll-related inquiries in accordance with established standards and procedures.
• Assist with regular payroll reconciliations to maintain accuracy and compliance.
• Support process improvements and contribute to maintaining a smooth, compliant, and efficient payroll operation.

Payroll Coordinator

Accounts Payable

• Review vendor invoices for accuracy and process payments promptly
• Handle invoicing, bank reconciliations, and credit card reconciliations accurately and on schedule
• Charge expenses to appropriate accounts and cost centers, ensuring all entries are correct
• Follow up on missing invoices and ensure timely payment processing
• Provide key financial data for monthly P&L and accounts payable reports
• Manage petty cash transactions and verify vendor documentation
• Maintain and update vendor information in the accounting database
• Collaborate with internal teams to ensure accurate and compliant financial records

AP Specialist

Accountant

• Bank reconciliations ensuring accuracy and identification of discrepancies
• Complete journal entries for accurate record-keeping and financial transparency
• Reconcile accounts payable and accounts receivable
• Support in preparation of budget forecasts
• Ensure timely bank payments
• Publish financial statements on time
• Manage balance sheets and profit/loss statements
• Undertake data analysis
• Comply with financial policies and regulations

• Coordinate and oversee patient care plans in collaboration with physicians, therapists, and nursing staff.
• Manage MDS (Minimum Data Set) assessments to ensure timely and accurate submission in accordance with federal and state regulations.
• Review, monitor, and manage managed care authorizations, ensuring patients receive appropriate and approved services.
• Participate in triple check processes to ensure accuracy of billing, coding, and clinical documentation.
• Communicate regularly with insurance providers, patients, and families regarding care plans and coverage.
• Monitor patient progress, outcomes, and transitions of care to reduce readmissions and optimize quality of care.
• Maintain compliance with regulatory requirements, company policies, and professional standards.
• Serve as a resource for staff education and training related to managed care, MDS, and documentation standards.

Vice President

• Lead the development, implementation, and continuous improvement of MDS-related reimbursement strategies for long-term care facilities
• Oversee the MDS process, ensuring accurate and timely completion of assessments, coding, and data submission to maximize reimbursement
• Collaborate with clinical and administrative teams to develop strategies that align care delivery with optimal reimbursement opportunities
• Provide leadership and guidance to MDS coordinators, billing, and clinical staff on best practices for MDS documentation and reimbursement
• Analyze reimbursement trends and implement strategies to improve payer mix, case mix index (CMI), and overall revenue capture
• Review and interpret payer policies, regulatory updates, and billing codes to ensure compliance while optimizing financial outcomes
• Drive continuous improvement initiatives to streamline workflows, reduce inefficiencies, and enhance reimbursement accuracy
• Monitor financial performance relative to MDS coding and reimbursement, ensuring adherence to budgetary goals
• Ensure MDS-related processes are compliant with federal and state regulations, including CMS guidelines
• Partner with internal audit and compliance teams to ensure proper documentation and prevent audit or billing disputes
• Serve as liaison between clinical, operational, and financial departments and advise executive leadership on MDS reimbursement trends
• Foster relationships with external payers, auditors, and regulatory agencies to ensure timely and accurate reimbursement
• Lead data analysis and reporting related to MDS, reimbursement performance, and case mix analysis and provide regular reports to senior leadership
• Build and lead a high-performing remote team of MDS professionals through recruitment, training, mentorship, and performance management

Vice President, Clinical Reimbursement

Underwriter

• Processes new business and renewal applications
• Handles Cancellations & reinstatements
• Manages the Underwriting and Submission mailboxes and assigns underwriting requests to the underwriter
• Aids underwriters in maintaining service standards
• Handles inquiries and requests from both agents and insureds
• Assists in reviewing insurance applications and supporting documents for completeness and accuracy
• Collects and verifies underwriting data, including loss history, claims information, and financial records
• Assists in necessary compliance and regulatory processes such as OFAC
• Prepares and issues policy documents, endorsements, and certificates of insurance
• Communicates with agents, brokers, and clients to obtain necessary information and documentation
• Performs other duties as assigned

Underwriting Assistant

• Coordinate and oversee patient care plans in collaboration with physicians, therapists, and nursing staff
• Manage MDS (Minimum Data Set) assessments to ensure timely and accurate submission in accordance with federal and state regulations
• Review, monitor, and manage managed care authorizations, ensuring patients receive appropriate and approved services
• Participate in triple check processes to ensure accuracy of billing, coding, and clinical documentation
• Communicate regularly with insurance providers, patients, and families regarding care plans and coverage
• Monitor patient progress, outcomes, and transitions of care to reduce readmissions and optimize quality of care
• Maintain compliance with regulatory requirements, company policies, and professional standards
• Serve as a resource for staff education and training related to managed care, MDS, and documentation standards
• Assist with audits, reporting, and quality assurance initiatives

Case Manager, LPN

Paralegal

• Manage and monitor insurance claims and coordinate with insurance brokers on ongoing cases
• Assist in the management of lawsuits, including maintaining documentation, timelines, and coordination with legal counsel
• Oversee the legal process related to state licensing for new or potential acquisitions, ensuring timely submissions and renewals
• Liaise with state agencies to ensure full compliance with licensing requirements
• Prepare and write clear, concise summary reports and updates for ownership and executive leadership
• Maintain accurate records of legal matters, communications, and compliance documents
• Support other legal and administrative tasks as required