Surgical Information Systems

Implementation Specialist

• Assist clients with application configuration, based on user needs and industry standards.
• Perform project management tasks to take clients through project life cycle.
• Train administrative and end users SIS Complete and associated applications.
• Determine business and clinical requirements and establish partnership with client for successful implementation for the project team (client, vendors, and SIS).
• Review, discuss, understand, and execute the processes and procedures with the team on all facets of the project, including project kickoff, milestones, training and education, reporting, interfacing, troubleshooting, issue tracking, and escalation.
• Identify client-associated risks and provide actions or solutions.
• Give a hands-on approach to the implementation process.
• Identify possible risks with the client on a continual basis during the project life cycle
• Review, assess, and help manage the application scope of work and scheduling.
• Exposure to and use of ASC billing practices
• Assist and focus client in directing resources and efforts to achieve project goals.
• Address client’s application issues and close all issues before transition to Support.

Implementation Consultant

Manager

• Lead a revenue cycle team or region with direct supervision to managers
• Drive strong communication, sound decision-making, and measurable results for clients
• Achieve clearly defined outcomes for multiple clients within a medical billing services environment
• Develop and execute consistent strategies that drive best-in-class service, high-quality results, responsiveness, and clear direction for both teams and clients
• Work closely with fellow RCMs, senior leadership, and assigned clients, partnering cross-functionally to assess and support staffing, tools, coaching, and training needs
• Drive consistent, high-quality daily outcomes in alignment with established operational expectations

Revenue Cycle Manager

Accounts Receivable

• The AR Specialist is responsible for collection efforts on Insurance Accounts
• Handle the accounts receivable for Ambulatory Surgical Centers
• Submit appeals and research denials from Insurance Carriers
• Follow up on denials in a timely manner
• Demonstrated experience with writing appeals, initiating appeals/follow-up on appeals
• Must be comfortable interacting with insurance representatives

Insurance AR Specialist

Medical Billing and Coding

• Review, analyze, and accurately code ambulatory surgical procedures for reimbursement.
• Obtain and review operative reports, implant invoices, implant logs, and pathology reports as applicable.
• Ensure accurate, complete, and consistent coding practices to support high-quality healthcare data.
• Adhere to ICD-9/ICD-10 coding conventions and official coding guidelines approved by CPT, AMA, AAOS, and CCI.
• Maintain and enhance coding expertise by staying current with changing codes, guidelines, and regulations.
• Assist with physician and clinician education by promoting proper documentation practices.
• Participate in claim denial reviews related to coding issues and provide appropriate supporting documentation when required.

Coder

• Develop and execute a comprehensive revenue cycle performance strategy aligned with organizational financial and growth objectives
• Define, monitor, and report key revenue cycle KPIs, including net collection rate, denial rate, days in A/R, cash acceleration, underpayments, and contract yield
• Lead root cause analysis of revenue and performance gaps; design and drive corrective action plans in partnership with Vice President- and Director-level leaders
• Provide insights and recommendations to support strategic decision-making
• Help to lead the revenue analytics function, including productivity reporting, client dashboards, and executive-level performance reporting
• Translate complex financial and operational data into clear, actionable insights for senior leadership and cross-functional stakeholders
• Standardize KPI definitions, data sources, and reporting methodologies across departments to ensure consistency and transparency
• Identify trends, risks, and opportunities in payer performance, reimbursement patterns, and revenue realization
• Provide financial modeling and analytics support for payer contract negotiations and renewals
• Monitor contract performance to identify underpayments, reimbursement variances, and yield opportunities
• Develop and maintain payer scorecards and contract performance tracking tools
• Partner with Managed Care and Finance teams to support contract optimization and financial forecasting
• Ensure alignment between credentialing and payer enrollment processes and revenue cycle performance goals
• Monitor credentialing timelines and quantify financial impact related to enrollment delays or gaps
• Identify credentialing-related revenue leakage risks and partner with Operations and Compliance to mitigate impact
• Lead cross-functional revenue performance improvement initiatives across the revenue cycle
• Implement best practices in denial prevention, underpayment recovery, and reimbursement optimization
• Leverage automation, analytics platforms, and emerging technologies to improve reporting efficiency and workflow effectiveness
• Support system implementations, enhancements, and revenue-related integrations in partnership with IT and Product teams
• Lead, mentor, and develop high-performing analytics and performance teams
• Serve as a strategic advisor to executive leadership on revenue performance, risk, and growth opportunities
• Collaborate with Operations, Finance, IT, Compliance, and Managed Care teams to align revenue goals and execution
• Foster a culture of accountability, continuous improvement, and data-driven decision-making.

Senior Manager, Revenue Cycle Analysis

Operations

• Resolve product or service problems by clarifying the client's complaint
• Serve as a trusted and knowledgeable advisor for clients’ administrative, IT, and business leadership
• Manage email queue and reply to clients in a timely manner
• Manage and solve conflicts affecting the account by coordinating, facilitating, and operating across internal/external cross-functional partners
• Ensure renewal for key accounts by driving in-depth business activities throughout the client lifecycle
• Take ownership of clients issues and follow problems through to resolution
• Intercept large amounts of incoming calls
• Manage workflow of the Quality Control Specialists and workflow of MTs to ensure TAT
• Build sustainable relationships of trust through open and interactive communication
• Work with onboarding to ensure that client specifics are obtained during onboarding process
• Keep records of client interactions, file documents, client service actions, client templates and discussions
• Manage on call shift after hours and weekends
• Train and assist in development of new hires
• Offer suggestions to leadership team in order to improve company processes

Implementation Consultant

Revenue Cycle Manager

Insurance AR Specialist

Coder

Senior Manager, Revenue Cycle Analysis

Manager, Medical Transcription Operations