Solaris Health

Clinical Specialist

• Oversee the management, support, and optimization of enterprise electronic health record (EHR) systems.
• Collaborate with stakeholders to align technology initiatives with patient care objectives.
• Manage data systems to ensure accuracy, integrity, and timely availability of information.
• Maintain and update EHR databases in accordance with organizational standards and local requirements.
• Support user training, education, and system optimization both remotely and on-site as needed.
• Monitor system performance, identify issues, and escalate as appropriate.
• Assist with EHR design updates and process improvement initiatives.
• Deliver effective training programs to promote user proficiency and system adoption.
• Provide training to individuals and groups, including clinical staff, providers, and administrative teams.

Senior Clinical Applications Specialist

Customer Support

• Oversee patient accounts, verify and ensure the accuracy of accounts receivable (AR).
• Contact patients to collect outstanding payments.
• Research and resolve patient billing inquiries.
• Accurately document all actions taken to reconcile outstanding balances.
• Communicate with patients and insurance companies to resolve billing issues.
• Ensure compliance with federal and state regulations.
• Explain Care Credit to patients and encourage them to apply to resolve their balance in a timely manner.
• Help patients create reasonable payment plans that suit their needs and support the financial health of facility.
• Provide accurate customer service to patients and insurance companies.
• Prepare specialized invoices and information as needed.
• Prepare accurate files to send to the collection agency.
• Verify patient demographics and update registration as required.
• Perform other position related duties as assigned.

Patient Customer Service and Collection Specialist – Part Time

Medical Billing and Coding

• The Radiation Oncology Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement.
• Ensure quality and productivity standards are met.
• Ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers.
• Work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials.
• Review chart documentation for accuracy and completeness, identify inconsistencies, and work with appropriate staff to resolve issues.
• Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues.
• Demonstrate in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology.
• Collaborate with providers to obtain complete documentation to support coding.
• Stay accountable to quality and productivity standards and monitor compliance with policies and procedures.
• Identify process opportunity trends and recommend ways to improve efficiencies.
• Maintain current knowledge of coding guidelines and relevant state and federal regulations.
• Ensure adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement.
• Participate in special projects and personal development training as instructed.
• Inform Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution.
• Collaborate with peers and functional areas of the Coding and Revenue Integrity department for the betterment of tasks and the company overall.

Radiation Oncology Certified Coder

Data Scientist

• Define and execute the enterprise data governance roadmap, aligning with organizational and technology strategy.
• Drive adoption of governance standards across business and clinical domains, ensuring enterprise-wide compliance and accountability.
• Serve as the executive-facing leader for data governance, providing updates, metrics, and risk visibility to senior leadership.
• Ensure that data is accurate, reliable, and maintained to high standards throughout its lifecycle.
• Harmonize conflicting data sources and centralize them into a consolidated source of truth to improve data trust and accuracy.
• Lead and mentor the data management team, facilitating communications across multiple committees, and engaging with data consumers to build a community that supports governance practices and policies.
• Perform data analytics to examine and interpret raw data, answering questions, and finding trends to improve customer relations and organizational efficiency.
• Perform data engineering responsibilities as necessary to support or enhance the results of the data engineering team.
• Act as the organization's data security and compliance expert, ensuring that data practices adhere to internal policies and external regulations.

Data Governance Manager

Manager

• Focuses on supervising all activities related to credit balance and overpayment recovery
• Responsible for identifying, analyzing, and resolving credit balances and overpayments
• Provides direct supervision and daily management of claims resolution activities
• Ensures timely escalation, resolution, and prevention of issues

Credit Resolution Manager

Financial Planning and Analysis

• Verify insurance coverage and benefit information using payer portals, clearinghouses, and direct communication with insurers.
• Confirm plan status, effective dates, co-pays, deductibles, coinsurance, and authorization requirements.
• Accurately document verification results in the EHR and/or PM.
• Submit prior authorization requests for services, tests, and procedures based on payer requirements.
• Monitor and follow up on pending authorizations to avoid delays in patient care.
• Address denied or delayed authorizations with payers and escalate unresolved issues to the Supervisor as needed.
• Coordinate with clinical staff to gather and submit necessary documentation for authorization approval.
• Notify appropriate teams of coverage issues, authorization status, or patient financial risk.
• Communicate with patients regarding their insurance coverage, financial responsibilities, and authorization outcomes when appropriate.
• Collaborate with schedulers and front-desk teams to ensure appointments align with insurance requirements.
• Follow standardized workflows and documentation protocols as outlined by the Supervisor.
• Maintain accuracy and timeliness in all financial clearance documentation.
• Participate in daily team huddles and contribute to process improvement initiatives.

Senior Clinical Applications Specialist

Patient Customer Service and Collection Specialist – Part Time

Radiation Oncology Certified Coder

Data Governance Manager

Credit Resolution Manager

Financial Clearance Specialist