Hollis Cobb jobs - 44 jobs

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $18 The Client Services Operations Support Representative I is, responsible for providing clerical support and efficient processing of high-volume transaction-oriented assignments for Performant's Healthcare Eligibility and Recovery Services business operations located in Lathrop, CA. Please note this opportunity is a full-time, on-site position. Key Responsibilities: Provides clerical support including, but not limited to, copying, filing, processing documents and mail, performing basic data entry, phone calls, and operating general office equipment. Processing incoming correspondence, including posting payments (checks, EFT and debit/credit card). Some phone work is required contacting insurance carriers and healthcare providers to gather payment information. Data entry into various applications/systems as may be required for applicable workflows. Accurately and efficiently performs assigned tasks ensuring adherence to all company, departmental and client policies, procedures, federal & state regulations, contractual compliance, and other requirements/standards. Achieves or exceeds quality and productivity expectations and other assigned goals/objectives. Obtain and maintain any client clearances for system/record access as may be required for position based upon client and work assignments. Completes assigned training on time and with acceptable scores. Demonstrates understanding of training materials and applies knowledge in appropriate situations. Completes other tasks and duties as assigned to meet business needs. Knowledge, Skills and Abilities Needed: Ability to perform basic tasks in Microsoft Excel and Word programs with occasional assistance Basic use of general office equipment and easily adapts to new office equipment and tools. Basic problem-solving skills and good communication, both written and oral, skills. Ability to quickly learn internal and client applications easily. Fast and accurate typing and 10-key skills Basic math skills to calculate numbers and percentages Demonstrated timely follow-up skills, ability to multi-task and prioritize workload. Very detailed oriented and highly organized Ability to prioritize daily workloads and meet daily deadlines Able to work efficiently independently and collaboratively promoting a positive team environment Strong customer service skills Must be responsible, dependable, and reliable Required and Preferred Qualifications: Some experience working in a customer service or clerical job is required. One (1) year or more of related office clerical support experience is preferred. High school diploma or equivalent is required and proof of such will be sought prior to hire. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

Account Executive Pay: $70,000 to $80,000/year + Commission! Experience:Previous experience in a "hunting" sales position, including prospecting for new business, is required; previous experience working in a service industry OR staffing industry is a plus! Logic Staffing is seeking an Account Executive to join a growing and dynamic team!Logic Staffing is part of Array Corporation, the leading technology-enabled workforce solutions company, whose mission is to fix how labor is bought, sold, and delivered to enable universal access to the American Dream. Job Description: Conduct a high volume of selling company services Strategically allocate your time to activities that will best accomplish set goals Conduct effective discovery meetings with clients that uncover pain points Formally present/pitch/propose services as solutions to established problems Maintain accurate data and notes in a CRM or other similar database Negotiate contracts to maximize long-term and immediate value Forecast closed deals (sales, recruiting, etc.) Educate users, clients, and prospects about services, providing relevant and accurate information Position Requirements: Bilingual (Spanish) is a plus Effective communication skills with people at all levels of an organization Ability to build relationships and accomplish many detail-oriented tasks simultaneously Conduct sound business decisions analytically in a fast-paced environment Excellent follow-through skills and time management Able to work independently and in a team environment Possess excellent phone sales skills with a strong sense of urgency Ability to take feedback from managers and peers as a learning experience Benefits & Perks: Base Pay + Commission Weekly Paychecks Medical, Dental, and Vision 401K We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. RequiredPreferredJob Industries Sales & Marketing

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $90,000 - $105,000 The Healthcare Services Concept Specialist provides support to assigned Segment Specialists by maintaining current audit concepts as well as provide support for the development process of new audit concepts. This opening will be focused on creating audit concepts within the MolDX space. Ideal candidates will have at least 10 years of experience in molecular diagnostics and a strong background in claims auditing. Key Responsibilities: Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on-point results. Ensure training material updates (may develop or coordinate) as necessary for changes to existing concepts. -May contribute to development of training materials and tools for new concepts. Conduct research, identify impact on existing concepts, and document accordingly (may support Segment specialists with research for new concepts). Interpret and apply policy in existing concept review/updates or ask may be requested in support of Segment Specialists for new concepts. Support activities required to “package” concepts, including, but not limited to, pulling together necessary documents, and supporting data in appropriate order and locations, coordinating activities and documenting process steps, proofing documents, and tracking/reporting status. Ensure audit concepts are well formulated for Offerings (Data Mining vs Complex Audit vs FWA Leads & CMS vs Medicaid vs Commercial) Manage, progress, and track multiple tasks within multiple workflows for audit concept maintenance with high degree of accuracy and quality providing status reports and deliver results on-time. May contribute to responses to provider/client representative from written inquiries as it pertains to audited Medicare claims, as necessary. Stay abreast of industry policy. Works very closely with other team members to ensure on time project deliveries, cross train, and knowledge transfer, and maintain required quality and productivity standards. Performs other duties as assigned and required to meet business needs. Knowledge, Skills & Abilities Needed: Demonstrated knowledge of applicable Medicare and Commercial policy and claims process, and ability to research and analyze the same, to successfully perform the job. Relevant knowledge and experience with ICD-10-CM/PCS, CPT-4, and HCPCS coding. Knowledge of the national coding standards, particularly payment rules. Knowledge of Medicare and commercial claims processing systems. Ability to understand and apply complex policies, procedures, regulations, and legal statutes. Strong verbal communication and interpersonal skills; ability to communicate with all levels within the organization and with diverse teams. Excellent written communication skills; including proofing and editing. Good critical thinking, analytical, questioning, and listening skills; excellent attention to detail. Flexibility to handle non-standard situations as they arise; and adaptable to changing business needs in a fast-paced dynamic environment. Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames. Strong proficiency in Microsoft Word, Excel, SharePoint (advanced skills highly desirable), and easily learns and adapts to new applications and systems. Required & Preferred Qualifications: At least 2-4 years of audit or Payment Integrity experience. CPC, COC, RHIA, or RHIT certification and/or RN. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range:$65,000 - $73,000 The Medical Review Coding Appeals Auditor (Outpatient) is responsible for conducting Appeals reviews of new evidence presented by auditee's, disputing all or part of the findings from medical review audit work completed by the medical review coding audit team members, Communicates and supports the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools. Responsible for performing some audit activity and consistently achieves or exceeds productivity goals and quality standards. Serves as subject matter expert, provides supplemental escalation support, and may perform special project activity as needed. Key Responsibilities Performs limited volume of outpatient coding reviews on medical records to maintain subject matter expertise, and additionally as needed to support business needs. Conducts Appeals reviews on medical review audit work completed by the medical review coding audit team members, as new evidence is presented by auditees Objectively and accurately documents Appeals results in accordance with department quality policies and procedures, scoring and reporting all Appeals results and routes record appropriately within audit platform based upon how the Appeal review resulted in concurrence with audit finding or identified corrections required. Reviews audit documentation and conducts research, analyzes claims data, applies knowledge of client SOW, applicable concept guidelines, policies, and regulations as necessary to determine if audit result is accurate and includes complete details to support findings. Provides correction to narrative rationale to correspond with audit determination and flags patterns of concern to audit leadership for real-time intervention, preventing an accumulation of improper findings Contributes to the continuous improvement feedback process and suggests or makes any edits, documentation, next steps, and reporting as may be necessary in accordance with department process and audit leadership direction. May perform primary audit activity as assigned by management Monitors, tracks, and reports on all work conducted in accordance with Appeals process and management direction. May prepare reports for management that includes a variety of data and trends at the individual, department, and client program level, as well as date range or concept based/trended, or other characteristic that will provide valuable business insights. Consults with internal resources as necessary. Become subject matter expert for assigned business segment(s). Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation, and business trends. Participates in and contributes to applicable department meetings. Successfully completes, retains, applies, and adheres to content in required training as assigned that includes but not limited to information security, anti-harassment and other compliance and policy/procedures training applicable for position. Proactively contributes to continuous improvement of activities and sets positive example Contributes collaboratively to identifying opportunities for improvement of audit results and continuous improvement initiatives. May support training material/tools and best practices development. May identify/make recommendations to management for supplemental team/concept type training. May support training activities for new audit staff or provide supplemental training for existing staff as needed. Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results. Receives feedback and adjusts work priority as necessary. Serves as positive role model and example for other audit staff and conducts work in accordance with company policies, government regulations and law. Performs job duties with high level of professionalism and maintains confidentiality Perform other incidental and related duties as required and assigned to meet business needs. Knowledge, Skills and Abilities Needed Demonstrated ability to perform claim payment audits with high quality and production results, as well as successful application of skills to conduct quality assurance review of audit work completed by others. Must be able to manage multiple assignments effectively, create documentation outlining findings, Appeals review results and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members. Thorough working knowledge of CPT/HCPCs/ICD-9/ICD-10. Proficiency with MCS 1500/UB 04 forms Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules and regulations. Working knowledge of encoder Proven ability to review, analyze, and research coding issues Reimbursement policy and/or claims software analyst experience Familiarity with interpreting electronic medical records (EHR) Basic understanding of accounting principles for accounts payable and receivable as it relates to medical billing. Independent, out-of-the-box thinker; Performs successfully against work given in the form of objectives and projects; leads by example. Understands processes, procedures, and workflow; and demonstrated ability to identify areas of opportunity Demonstrated ability to consistently apply sound judgment and good effective decision making. Understands Medical Review Audit and Quality Assurance objectives, activities, and key drivers in achieving operational goals. Ability to efficiently and effectively run reports, analyze information, identify meaningful trends, and identify potential solutions. Strong communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external. Demonstrated ability to collaborate effectively in a variety of settings and topics. Excellent editing and proofreading skills. Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively. Excellent time management and delivers results balancing multiple priorities. Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data. Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues. Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures. Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions. Ability to create documentation outlining findings and/or documenting suggestions. Strong general computer skills, including, but not limited to Desktop and MS Office applications (Intermediate Excel Skills), application reporting tools, and case management system/tools to review and document findings. Solid technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools. Ability to be flexible and thrive in a high pace environment with changing priorities. Adaptable to applying skills to diverse operational activities to support business needs. Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives. Serves as a positive role model; and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams. Capability of working in a fast-paced environment, flexibility with assignments and the ability to adapt in a changing environment Ability to obtain and maintain client required clearances, if applicable, as well as pass company regular background and/or drug screening. Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to, : able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours. Required and Preferred Qualifications Current certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P Not currently sanctioned or excluded from the Medicare program by OIG 3+ years of direct experience in medical chart review for all provider/claim types for outpatient 5+ years relevant auditing experience in a provider or payer environment demonstrating breadth and depth of knowledge/skills for the position. (less than 5 yrs. may be considered for internal candidates based upon demonstrated skills and results). Prior experience in role with responsibility for conducting primary audit, utilization management or prior-authorization work, or review of audit work performed by others (QA function, appeals function, lead, supervisory role, etc.) Prior experience in payer edit development and/or reimbursement policy a plus. Prior experience working in remote setting preferred. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $90,000 - $110,000 Annual Salary The Manager, Healthcare Provider Contract and Pricing has responsibility for managing staff and creating an infrastructure to support Performant's claims repricing and contract audits ensuring the needs of the business are met for successful daily operations of healthcare audit and recovery. Key Responsibilities to include: Oversee team functions including, but not limited to: Interpretation (and documentation of) provider contract payment information for use by the complex and automated teams Development of algorithms to identify inappropriate payments QA of fee schedule loads - Analysis of data results to ensure accuracy of contract interpretation and system loads Creation and processing of system files, and needed workflows using available tools, specific layouts, conditions, and instructions to create overpayment files Responds to internal and external questions regarding data results and pricing calculations Participate in the development or analysis of new/changing concepts and related data Concept research and application of appropriate Medicare, Medicaid and other regulatory policy and rules Conducting sample tests to prove and quantify the value of concepts Hires, trains, and develops staff; proactively manages team performance against objectives and deliverables to ensure high quality output meets business needs, and: resolves conflict in a tactful and effective manner. Develops and ensures training and support to new team members as well as all team members for any new or changing workflows or requirements Develop and maintain infrastructure tools and documentation as well as contribute to the development and/or improvement based upon changing requirements and/or new client requirements/contracts. Drives research, analysis and resolution of complex questions, issues, and needs that arise. Drives continuous improvement efforts and develops/delivers tools and training to increase knowledge, efficiency, and consistency of department output. .Applies strong communication and interpersonal skills to develop professional relationships and collaborates effectively with internal department leaders/staff, as well as clients and other external stakeholders and service providers. Maintains current knowledge of and compliance with company policies, processes and procedures, Medicare/Medicaid rules, regulations, policies and procedures, contract requirements, and HIPAA certification; and ensures team members do the same. Keeps abreast of medical practice, changes in technology, and regulatory concepts, or changes in reimbursement that may affect the Client contracts. Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours. Other Duties as assigned Knowledge, Skills and Abilities Needed: Excellent verbal and written communication and interpersonal skills; ability to effectively communicate at all levels within the organization both internal and external. Strong project and operations management skills; inventory management, resource planning, developing, and leveraging reports; developing policies and procedures. Leverages strong analytical, critical thinking and problem-solving skills; Skill in analyzing information, identifying trends, and presenting solutions. Demonstrated ability to apply excellent judgement and decision-making skills. Demonstrated success building and lead high performing teams. Adaptable and thrives in a fast-paced dynamic environment with changing priorities. Possess broad and comprehensive understanding of applicable healthcare concepts, standards, tools, policies, and regulations relevant for medical claim repricing: Knowledge in ICD-10-CM/PCS, CPT-4, and HCPCS coding; Experience with diagnostic grouper tools such as MS DRG, APC, APR-DRG, EAPG, preferred Experience in interpreting provider contracts payment methodologies, preferred Knowledge of the national coding standards, particularly payment rules Knowledge of commercial claims processing systems Knowledge of Medicare/Medicaid programs, particularly payment rules Experience analyzing and manipulating health care data leveraging strong data manipulation skills. using database and spreadsheet applications. Strong computer skills; intermediate level experience with MS Office products including Outlook, Word, PowerPoint, intermediate to advanced Microsoft Excel, and the ability to quickly develop expertise in new systems and applications. Use of logical and critical thinking skills and exceptional problem-solving skills to identify solutions to complex scenarios. Required and Preferred Qualifications: BA/BS in relevant field (e.g., Finance, Accounting, Healthcare Administration) or equivalent combination of relevant education and experience. 7+ years of relevant experience in healthcare provider reimbursement and/or health insurance payor experience in medical billing, claims auditing, claims analysis and/or actuarial analysis. Minimum of 3 years in supervisory/management that includes oversite for remote staff. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

We are seeking a talented and detail-oriented Visual Data Evaluator to join our team. The ideal candidate will play a crucial role in ensuring the quality and accuracy of training data for our various visual models. This role requires a strong background in visual arts, along with the ability to make informed editorial decisions that enhance the effectiveness of our training processes. Key Responsibilities * Editorial Decision-Making: * Evaluate visual content based on established editorial guidelines and relevant art direction. * Make informed decisions about visual assets to ensure their alignment with project goals. * Understanding Visual Styles: * Analyze and interpret various visual styles to ensure accurate representation in training datasets. * Collaborate with team members to discuss style preferences and approaches. * Error Detection: * Spot subtle errors in visual content, including inconsistencies in design, color mismatches, and alignment issues. * Provide constructive feedback to improve the quality of training data. * Quality Assurance: * Conduct thorough reviews of datasets to ensure high standards of visual quality and compliance with project specifications. * Work closely with the data collection team to ensure that sourced materials meet the required criteria. * Collaboration: * Collaborate with cross-functional teams, including designers, artists, and project managers, to ensure coherence in visual output. * Participate in team meetings to discuss project progress and share insights on visual quality. * Continuous Learning: * Stay updated on industry trends and advancements in visual arts, including emerging technologies and innovative design practices. * Participate in training and workshops to enhance skills related to visual evaluation. Qualifications * Education: * Bachelor's degree in Graphic Design, Visual Arts, Advertising, Motion Design, or a related field, or currently attending design school/university. * Experience: * Proven experience in graphic design, advertising, motion design, VFX, post-production, or CGI. * Familiarity with visual evaluation standards and training data quality assurance is a plus. * Skills: * Strong understanding of visual aesthetics, styles, and art direction. * Excellent attention to detail and a critical eye for spotting errors. * Proficient in design software such as Adobe Creative Suite (Photoshop, Illustrator, After Effects, etc.). * Strong communication and teamwork skills. Why Join Us? * Opportunity to work on cutting-edge projects in a dynamic environment. * Contribute to the development of innovative visual models. * Collaborate with a talented team of creative professionals.

Job Description FCS Facility Services is a nationwide janitorial services company dedicated to providing high-quality cleaning solutions to our clients. We specialize in maintaining cleanliness and hygiene in various facilities, ensuring a safe and comfortable environment for occupants and visitors alike. Our team is committed to excellence and strives to exceed expectations in every cleaning task. Position Overview: As a General Cleaner at FCS Facility Services, you will be an integral part of our cleaning team, responsible for performing a variety of cleaning duties to uphold the cleanliness and sanitation standards of our clients' premises. The ideal candidate will be detail-oriented, dependable, and dedicated to delivering outstanding cleaning results while adhering to safety protocols and company policies. Key Responsibilities: Surface Cleaning: Clean and sanitize various surfaces, including floors, walls, windows, furniture, and fixtures, using appropriate cleaning agents and equipment. Dusting and Polishing: Dust surfaces, furniture, and equipment thoroughly, ensuring the removal of dirt, debris, and allergens. Polish surfaces to maintain a clean and attractive appearance. Vacuuming and Sweeping: Vacuum carpets and rugs to remove dirt, dust, and debris. Sweep and mop hard surface floors to eliminate dirt and stains, paying attention to corners and hard-to-reach areas. Restroom Maintenance: Clean and disinfect restroom fixtures, including toilets, sinks, mirrors, and countertops. Refill soap dispensers, paper towel holders, and toilet paper rolls as needed. Trash Removal: Empty trash receptacles and replace liners as necessary. Dispose of trash and recyclable materials in designated containers, following proper waste disposal procedures. Restocking Supplies: Monitor inventory levels of cleaning supplies and restroom amenities. Replenish supplies as needed to ensure adequate stock for daily cleaning tasks. Floor Care Support: Assist floor technicians in floor care duties, such as buffing, waxing, and stripping floors, as directed by supervisors. Adherence to Safety Protocols: Follow established safety procedures and guidelines to prevent accidents and ensure a safe working environment. Use personal protective equipment (PPE) as required. Qualifications: Previous experience in commercial cleaning or janitorial services preferred but not required. Knowledge of cleaning techniques, equipment, and chemicals. Strong attention to detail and ability to follow instructions. Good communication skills and ability to work effectively in a team. Physical stamina and flexibility to perform cleaning tasks, including bending, kneeling, and lifting. Dependability and punctuality. Willingness to learn and adapt to new cleaning methods and procedures. Willingness to undergo background checks and drug screenings as required. Be able to lift/carry a minimum of 50 pounds. FCS Facility Services is an equal employment opportunity employer dedicated to promoting an inclusive, diverse, and innovative environment for our employees. We provide all qualified applicants with employment consideration without regard to race, color, religion, sex, pregnancy, childbirth, ancestry, national origin, age, protected veteran status, marital status, genetic information, gender identity or expression, sexual orientation, disability, or any other protected status in accordance with applicable federal, state, or local laws. 1st shift Mon to Fri 6:00am to 2:30pm

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $78,500 - $104,000 The Healthcare Services Concept Specialist provides support to assigned Segment Specialists by maintaining current audit concepts as well as provide support for the development process of new audit concepts. Ideal candidates will have experience in the Payment Integrity industry, with demonstrated expertise in post-acute concept development. Registered Nurses (RNs) are strongly preferred; Certified Coders will also be considered. Key Responsibilities: Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on-point results. Ensure training material updates (may develop or coordinate) as necessary for changes to existing concepts. May contribute to development of training materials and tools for new concepts. Conduct research, identify impact on existing concepts, and document accordingly (may support Segment specialists with research for new concepts). Interpret and apply policy in existing concept review/updates or ask may be requested in support of Segment Specialists for new concepts. Support activities required to “package” concepts, including, but not limited to, pulling together necessary documents, and supporting data in appropriate order and locations, coordinating activities and documenting process steps, proofing documents, and tracking/reporting status. Ensure audit concepts are well formulated for Offerings (Data Mining vs Complex Audit vs FWA Leads & CMS vs Medicaid vs Commercial) Manage, progress, and track multiple tasks within multiple workflows for audit concept maintenance with high degree of accuracy and quality providing status reports and deliver results on-time. May contribute to responses to provider/client representative from written inquiries as it pertains to audited Medicare claims, as necessary. Stay abreast of industry policy. Works very closely with other team members to ensure on time project deliveries, cross train, and knowledge transfer, and maintain required quality and productivity standards. Performs other duties as assigned and required to meet business needs. Knowledge, Skills & Abilities Needed: Demonstrated knowledge of applicable Medicare and Commercial policy and claims process, and ability to research and analyze the same, to successfully perform the job. Relevant knowledge and experience with ICD-10-CM/PCS, CPT-4, and HCPCS coding. Knowledge of the national coding standards, particularly payment rules. Knowledge of Medicare and commercial claims processing systems. Ability to understand and apply complex policies, procedures, regulations, and legal statutes. Strong verbal communication and interpersonal skills; ability to communicate with all levels within the organization and with diverse teams. Excellent written communication skills; including proofing and editing. Good critical thinking, analytical, questioning, and listening skills; excellent attention to detail. Flexibility to handle non-standard situations as they arise; and adaptable to changing business needs in a fast-paced dynamic environment. Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames. Strong proficiency in Microsoft Word, Excel, SharePoint (advanced skills highly desirable), and easily learns and adapts to new applications and systems. Required & Preferred Qualifications: At least 2-4 years of audit or Payment Integrity experience. RN and/or CPC, COC, RHIA, or RHIT certification. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

A Healthcare business analyst role involves creating business requirements and act as a liaison between the Business Operations and Technology IT team for any new projects and improvements that help maximize the effectiveness of business outcomes. Prior experience of US healthcare environment as a Business Analyst or Subject Matter expert is important. Responsibilities: * Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems. * Understand the Business processes and Functional requirements end to end. * Identify and analyze user requirements, procedures, and problems to improve existing processes. * Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation. * Identify ways to enhance performance management and operational reports related to new business implementation processes. * Develop and incorporate organizational best practices into business applications. * Lead problem solving and coordination efforts between various business units. * Assist with formulating and updating departmental policies and procedures. Required Education/Experience: * Bachelor's degree in a related field or equivalent experience. * 2 years of business process or data analysis experience, preferably in healthcare (i.e., documenting business processes, gathering requirements). * Advanced knowledge of Microsoft Applications, including Excel. Preferred Experience: * Claims payment/analysis experience. * Knowledge of managed care information systems and experience in benefits or claims. * Project management experience. * Previous structured testing experience. * SQL scripting experience. * Visio experience Firstsource participates in E-Verify and we will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's I-9 to confirm work authorization. It is the policy of this Company to seek and employ qualified individuals at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation, insurance, benefits, promotion, transfer, and termination.

Job Description Harris & Harris has over 50 years of experience in the customer service and revenue recovery field, specializing in the utilities, government, and healthcare markets. We're looking for friendly, professional, and motivated Complex Claims Administrator join our Legal Compliance team. If you're looking for a company that embraces the principles of respect, compassion, and trust, apply today! Complex Claims Administrator The Complex Claims Administrator will work as a patient advocate, and ensure proper research, billing, and filing of all complex claims. Schedule: 8:00am to 5:00pm Monday through Friday are regular business hours. Location: Can work remotely, candidates local to Chicagoland preferred Salary: $20.00/hour Additional Compensation and Benefits: At Harris & Harris, we truly care about each employee's health, wellness, financial stability, and education. We are proud to offer each employee the following benefits: Medical and Dental insurances from premium providers 401K with matching Company paid Accident and Disability Insurance, Long Term Disability Insurance, EAP, and Travel Assistance Tuition Reimbursement Paid Time Off Additional benefits such as identity theft protection, flexible spending accounts, pre-tax commuter benefits, and more. DAY TO DAY Work in the clients EMR, Patient Account System, and Software Platforms to identify Liability Claims and correctly bill both hospital, and professional claims. Review police reports, medical records, and all available information to assist in correctly billing liability claims. Perform duties as a patient advocate by speaking with a patient that was seen at the hospital as a result of an accident Making outbound/inbound calls to the patient to assist in obtaining liability information, and assisting in opening a claim when deemed necessary Complete daily billing activities for new accounts. Updating the clients Patient Accounting System with proper notation. Completing weekly reports needed to resolve accounts (i.e. rebill reports, reject reports). Electronic filing of incoming documents Develop a relationship with payers to encourage timely request and prompt payment. WHAT YOU MUST POSSESS Must Have: High School Diploma or GED required, some college a plus' Medical Billing experience Experience Working in Multiple systems at the same time Experience with Healthcare systems like Epic General understanding of Workers Compensation laws Must be very detail oriented Experience with 10-key data entry Ability to type 35-40 wpm WHY HARRIS & HARRIS? Harris & Harris is a premier, full-service revenue recovery firm headquartered and founded in Chicago, IL. Founded in 1968, we have been in business for more than 50 years, and we specialize in the utilities, government, and healthcare markets. The family business Sam Harris started is now a firm of more than 500 hundred employees including collections professionals and customer care representatives who employ the latest technology and best ethical practices to help businesses recover revenue and provide world class customer service. We take pride in knowing what it takes to turn a call from "average" to "excellent." We have been delighting clients and customers for decades thanks to our outstanding employees. They make the difference every day, shift, and call and transform challenges into victories. At Harris & Harris, we're proud to be an organization where everyone is welcome and can be their authentic selves at work. We're passionate about celebrating the differences that make each of us unique. Our culture focuses on our employees and we look for opportunities to recognize and celebrate together. We are an organization that cares about our people. From monthly activities, bonuses and contests, to competitive wages and benefits, we foster an environment where we employees feel valued. We also are an organization that believes in the power of giving back. Our internal cross functional committee, Harris Cares, guides our philanthropic activities. We have partnered with organizations such as One Warm Coat, Greater Chicago Food Depository, American Cancer Society, Bright Pink, The Heat and Warmth Fund (THAW), and Operation Stars and Stripes. Most recently we have partnered with local schools and charitable organizations to give back to our communities including the American Heart Association, Habitat for Humanity, A Just Harvest, and R. Nathaniel Dett Elementary School. At Harris & Harris, everyone is important, and one person can make a difference for their colleagues, for our clients, and for our company. We look forward to hearing from you! Harris & Harris is an equal opportunity employer. Applicants will not be discriminated against based on race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, disability, ancestry, marital status, veteran status, medical condition or any protected category prohibited by local, state or federal laws.

Remote: Onsite Springfield, Oregon or WFH Phoenix, AZ area Do you have experience in insurance, denials, and collections, and have a passion for delivering exceptional customer service while helping individuals through challenging situations? If so, we're looking for someone like you! Join the Industry Leader Professional, the nation's top provider of accounts receivable management services, is hiring Insurance and Complex Claims Specialist! The Insurance and Complex Claims Specialist will focus on outlier collection accounts. Instances where the healthcare balance stems from Motor Vehicle, Personal Injury or denied insurance claims. Candidate will dig deep into the details to identify other sources of recovery and will work with third party payers, attorneys and other sources to resolve the collection accounts. Why Choose Professional? At Professional, we believe every interaction matters. That's why we prioritize building positive, productive relationships with consumers. With cutting-edge omni-channel communication tools, you'll connect with customers via text, live chat, email, and phone-delivering top-notch service at every touchpoint. If you're enthusiastic about creating positive experiences and being part of a forward-thinking team, we want to hear from you! Job Details: Position is Full-Time, 40 hours per week, working Monday - Friday, 8 am - 5 pm PST Location: Work from Home (onsite Springfield, Oregon, or Phoenix, AZ area) Requirements: Minimum of 1 year 1 st or 3 rd party collection experience Insurance Denial appeals and rebilling process experience. Epic, Cerner, Meditech EMR experience, a plus. Dedicated, private room in your home that is quiet during work hours. Internet connection of 50 MB or more, which is hard-wired (Ethernet connected) from the modem to your company PC. Your desktop work surface must have room for 2 PC monitors. Professional will provide all computer equipment. You will be required to sign and acknowledge these work-from-home requirements. Must have a personal cell phone to install a security application. Must be present in virtual work environment via company provided webcam during all working hours. Must be meeting minimum performance levels and KPI's. Good decision-making skills are required. Qualifications What Will You Be Doing as a Complex Claims Specialist? We will train you to take inbound and outbound collection calls with utmost professionalism and courtesy . Negotiate payment agreements, resolve customer concerns and help consumers get out of debt. Specific Process Motor Vehicle Accident insurance claims (Specifically, third party lien process by state) Personal Injury liability billing practices Veterans Administration, TriCare billing practices Crime Victim processing and claims process General Worker's Compensation process General computer skills are required with the ability to navigate multiple screens and type 25 words per minute Top Reasons to Join Our Team: A stable organization offering an exciting yet challenging employment opportunity, Growth potential, both personally and professionally. Comprehensive training to set you up for success. A supportive, dynamic team environment. The chance to make a meaningful impact by helping people navigate tough times. Great benefits (health, dental & vision Insurance) with the Employee only cost share is $201.44 per month and eligible the 1 st of the month following 60 days. We offer a traditional 401k/Roth Plan with discretionary matching. Paid Time-Off accruing up to 80 hours per year as of day 1 for the first 2 years (based on hours worked) along with 7 paid Holidays (after 60 days of employment) Paid Volunteer and Community Outreach Program that allows you to ‘ help others ' in the community , See what it's like to work at Professional Credit by visiting our website at and checking out our video at: http://professionalcredit.com/index.php/careers Apply today and start making a difference with Professional! EOE/DFW

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range:$75,000 - $80,000 The Medical Review Nurse II - Home Health primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast paced and dynamic environment and be part of a multi-location team. Key Responsibilities: Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse. Work in partnership with our clients, CMD colleagues, and other contractors on improving medical policies, provider education, and system edits. Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients. Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members. Participate in establishing edit parameters, new issue packets and development of Medical Review Guidelines. Interface with and support the Medical Director and cross train in all clinical departments/areas. Other duties as required to meet business needs. Knowledge, Skills and Abilities Needed: Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual. Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding. Knowledge of insurance programs program, particularly the coverage and payment rules. Ability to maintain high quality work while meeting strict deadlines. Excellent written and verbal communication skills. Ability to manage multiple tasks including desk audits and claims review. Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings. Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: Active unrestricted RN license in good standing, is required. Must not be currently sanctioned or excluded from the Medicare program by the OIG. Minimum of five (5) years diversified nursing experience providing direct care in an inpatient or outpatient setting. One (1) or more years' experience performing medical records review. One (1) or more years' experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required. Strong preference for experience performing utilization review for an insurance company, Tricare, MAC, or organizations performing similar functions. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

Schedule: 8am to 4:30pm Pay: $17 to $22 per hour, D.O.E. The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. Essential Duties and Responsibilities: * File claims using all appropriate forms and attachments * Handle Outbound calls and Maneuver between several different software systems * Research account denials and file written appeals, when necessary. * Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim. * Ensure the integrity of each claim that is billed. * Document in detail all efforts in CUBS system and any other computer system necessary. * Verify patient information and benefits. Additional Duties and Responsibilities: * Meet specified goals and objectives as assigned by management. * Maintain good working relationships with state and Federal agencies. * Resolve accounts in a timely manner. * Always maintain confidentiality of account information. * Adhere to the prescribed policies & procedures as outlined in the Employee Handbook and Employee Code of Conduct. * Maintain awareness of and actively participate in the Corporate Compliance Program. * Maintain a confidential and orderly remote work area. * Assist with other projects as assigned by management. Educational/Vocational/Previous Experience Recommendations: * High school diploma or equivalent is required. * Formal training in the specialty of Insurance Billing preferred. * Knowledge of all insurance payers preferred. * Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments * Ability to always present oneself in a courteous and professional manner * Ability to stay on task with little or no management supervision * Demonstrate initiative and creativity in fulfilling job responsibilities * Capacity to prioritize multiple tasks using time management and organizational skills. * Proficient PC knowledge and the ability to type 30-40 wpm. Working Conditions: * Remote work from home office, virtual Call Center environment. * Must be able to sit for extended periods of time. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $54,200 - $67,000 The Healthcare Audit Recovery Analyst is responsible for objectively and accurately completing claim audit reviews on assigned Medicare (State) audits while meeting quality and productivity performance goals, as required. This position makes determinations based on claims payment expertise and knowledge while utilizing audit tools and resources available. This role is also responsible for communicating and supporting the identification of additional audit opportunities and participating in development of new ideas, as necessary. Key Responsibilities to include: Conducts Medicaid claim audit reviews and determines if claims are appropriately paid in accordance with benefits, contracts and edits, includes review of specific coding and billing guidelines Documents findings within audit tracking system and maintains thorough and objective documentation of findings Investigates, researches, and analyzes claims data, applying knowledge of medical or pharmacy policy to determine details of fraudulent or abusive or inaccurate billing activity Creates narrative rationale to correspond with audit determinations As needed, supports findings during the appeals process Serves as a claims payment resource; provides claims payment expertise, and claims payment guidance to the team Works collaboratively with the audit team to identify vulnerabilities and/or cases subject to potential abuse Monitors, tracks and reports on all work conducted Consults with our clients, physicians, other claims payment resources and contractors as necessary Maintains current knowledge of changes in technology, practice and regulatory issues that may affect our clients Participates in process improvement activities and encourages ownership of and group participation in improvement initiatives As needed, assists with quality assurance functions, development of medical review guidelines and training Identifies and recommends opportunities for cost savings and improving outcomes Attends conference calls and meetings as requested Performs other duties as assigned Knowledge, Skills & Abilities Needed: LTC (Long Term Care) Caseworker or Nursing Home technical and administrative skills preferred Understanding of NAMI, Diversion/Deduction Calculations, Spenddown, and Estate Recovery preferred Working knowledge of coordination of benefits and medical claims processing Knowledge of insurance programs, particularly the coverage and Medicaid payment rules preferred Ability to be flexible and seizes the opportunity to cross train Ability to maintain high quality work while meeting deadlines and performance metrics Excellent organizational, interpersonal and communication skills Strong problem solving skills Excellent organizational, interpersonal and communication skills Must be able to independently use standard office computer technology (e.g. email telephone, copier, etc.) and have experience using a case management system/tools to review and document findings Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members Acute sense of professionalism and confidentiality Typing skills and working knowledge of computer functions and applications such as MS office (Outlook, Word, Excel) Intermediate level of proficiency with Microsoft Excel, Word and Access Experience with EHRs and billing software such as PointClickCare, SigmaCare or MatrixCare Capability of working in a fast-pace environment, flexibility with assignments and the ability to adapt in a changing environment Requirements & Qualifications: High School Diploma is required. Bachelor's degree, or an equivalent level of competence obtained through experience, education and/or training, may be required for some specific roles Medical Coder certification is a plus Experience with Commercial healthcare contracts and Reimbursement models (e.g. Medicare, Medicaid, & Commercial Insurance), is required 3+ years healthcare claims processing with experience in Medicaid claims 3+ years of experience in the health care industry, preferably in an auditing role 3+ years working with health care claims demonstrating expertise in, ICD-9/ICD-10 coding, HCPS/CPT-4 coding, and MS-DRG including medical billing experience for an Insurance Company or hospital Medical coding experience WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range:$78,500.00 - $93,400.00 The Medical Review Audit Supervisor - Clinical (SNF) leverages their nursing background, deep knowledge of clinical review, and experience leading others to manage staff and operational results for a remote team of nurses and other audit roles, performing clinical review audits. The Supervisor will leverage first-hand experience and knowledge of claims auditing for supporting management with strategy activities such as needs assessments, capacity planning, and ensuring required staffing levels and productivity & quality standards are being achieved consistently. Key Responsibilities to include: Regularly performs limited volume of clinical audits to maintain subject matter expertise, and additionally as needed to support business needs. Performs audit quality assurance reviews to supplement QA team activity as necessary based upon business need or special projects. Contributes to the resolution of quality review rebuttals. May perform appeals review/activity to supplement Appeals team, based upon business need. Actively identifies and recommends opportunities for cost savings and improving outcomes that can have a direct impact to the company's profitability. Effectively ensures adherence to medical review guidelines and training requirements of staff. Supports audit management and segment specialists with activities for new concept implementation Supports management with needs assessments and capacity planning Monitor and manage inventory of assigned business to ensure timelines are met. Use data, reports and experience to proactively identify potential backlogs and align resources to meet business needs and SLAs. Oversee and review audit determinations to ensure consistency in decision-making. Collaborate with other departments to resolve operational problems. Proactively monitors and in alignment with applicable management ensures activity required to meet team staffing levels necessary to achieve business objectives. Provides support as needed to ensure auditors are equipped with tools and resources required to perform audits. Supervise daily activities of clinical audit staff that may include both salaried exempt and hourly employees. Provide audit guidance to medical review staff; identify trends and present solutions. Routinely provides production and quality performance-based progress reports, coaching, and constructive feedback to staff. Manages team Time and Attendance (time off/use of accruals, attendance, attendance points and timecards for hourly staff, etc.) in accordance with applicable policies and procedures. Collaborates with The People Team for applicable corrective action as applicable. Complete and conduct performance reviews for assigned staff. Conduct team meetings with direct reports on a regular basis. Provide leadership to team members, provide solutions, and resolve conflicts. Escalate to management and collaborate with HR as applicable to bring appropriate solutions to employee matters. Provide reporting and updates to management as required and appropriate for operational and staff activity and results. Participates in and contributes to applicable department meetings. May participate to client-facing meetings; research and analyze issues; present findings and solutions; and/or provider training. May support management with activities to monitor inventory and activity of 3rd party/subcontractors. Become subject matter expert for assigned business segment(s). Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation and business trends. May support training material/tools and best practices development. Identify needs and ensure team receives necessary training. Support training activities for new audit staff or provide supplemental training for existing staff as needed. Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results. Receives feedback and adjusts work priority for self and team as necessary. Leads by example and conducts work in accordance with company policies, government regulations and law. Perform other incidental and related duties as required and assigned to meet business needs. Knowledge, Skills and Abilities Needed: Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules. Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding. Proficiency with MCS 1500/UB 04 forms Working knowledge of encoder Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines, Milliman or InterQual. Proven ability to review, analyze, and research medical billing, documentation, and coding issues Reimbursement policy and/or claims software analyst experience Familiarity with interpreting electronic medical records (EHR) Willing and able to lead by example, communicate ideas, take initiative and drive the team to achieve organizational goals. Experience in developing, documenting and implementing process and procedures. Experience in inventory management, resource planning and report generation. Skill in analyzing information, identifying trends and presenting solutions. Understands inventory management objectives, activities, and key drivers in achieving operational goals. Demonstrated ability to consistently apply sound judgment and good effective decision making. Excellent communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external. Demonstrated ability to collaborate effectively in a variety of settings and topics. Excellent editing and proofreading skills. Demonstrated ability to successfully develop, lead, and motivate a team to high performance; effectively provides constructive feedback and coaching for successful outcomes. Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively. Excellent time management and delivers results balancing multiple priorities. Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data. Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues. Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures. Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions. Ability to create documentation outlining findings and/or documenting suggestions. Strong general technical skills, including, but not limited to Desktop and MS Office applications (Intermediate Excel Skills), application reporting tools, and case management system/tools to review and document findings. Solid technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools. Ability to be flexible and thrive in a high pace environment with changing priorities. Adaptable to applying skills to diverse operational activities to support business needs. Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives. Serves as positive role model, and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams. Required and Preferred Qualifications: Current active unrestricted Nursing license in good standing required. Not currently sanctioned or excluded from the Medicare program by OIG, is also required. Medical coding certification is a plus. 3+ years diverse nursing experience providing direct care in an inpatient or outpatient setting. 2+ years of performing medical record audits in a provider setting, or in a payer setting for a health insurance company. 5+ years in health care claims that demonstrates expertise in ICD-9/ICD-10 coding, HCPS/CPT coding, DRG and medical billing experience for an Insurance Company or hospital required. Those who have less than 5 years experience may be considered based upon demonstrated skills and/or formal training and other relevant experiences 3+ years relevant supervisory or leadership experience in similar business environment, preferred. Experience managing remote staff is a plus. Some Supervisory experience may be required for certain Supervisor roles. Prior experience in payer edit development, and/or reimbursement policy experience a plus. WHAT WE OFFER: Machinify offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee's responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary. Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse. Regularly reads and comprehends information in electronic (computer) or paper form (written/printed). Regularly sit/stand 8 or more hours per day. Occasionally lift/carry/push/pull up to 10lbs. Machinify is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position: Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions. Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists. Must complete the Machinify Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures. Other requirements may apply. All employees and contractors for Machinify may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Machinify's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Machinify is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Machinify will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Machinify's Human Resources team to discuss further. Our diversity makes Machinify unique and strengthens us as an organization to help us better serve our clients. Machinify is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING

Schedule: 8am ET to 5pm ET Pay: $30 to $35 per hour, D.O.E. The HIM Clinical Coder II (Certified) is responsible for timely and accurate assignment of ICD-10-CM, CPT-4, HCPCS, and APC Modifier. This role also assigns codes to all complex records such as SDCs, cardiac catheterization, recurring, anesthesia, and chemotherapy and radiation oncology. This classification is distinctly different than the HIM Clinical Coder I by coding all high dollar charts and discharges with a length of stay exceeding three (3) days. Coding and abstracting duties are performed in compliance with hospital, departmental, regulatory and national coding compliance, and accrediting guidelines. This position works in conjunction with the HIM Technicians in reference to missing documentation and transcribed reports. The HIM Clinical Coder II (Certified) works directly under the supervision of the HIM Manager or HIM Supervisor. This position represents the Health Information Management in court as Custodian of Records. The HIM Clinical Coder II (Certified) assumes responsibility and accountability for the duties and is cognizant of the philosophy, standards, objectives, and policies of the Medical Center and the Health Information Management Department. Hazards & Physical Requirements: Work in this category is majorly sedentary and involves sitting, some standing and walking; employee may be required to lift or pull up to 10 lbs. frequently or 20 lbs. occasionally. Education & Experience: Any combination of a High School Diploma or equivalent and familiarity with healthcare administrative office setting with 5 years coding experience. Hospital based coding credentials required. Specific Requirements: Certified Coding Specialist (CCS), Certified Professional Coder-Hospitals (CPC-H) required. Duties and Responsibilities: * Performs the functions of a certified coder which requires coding charts and discharges with hospital stays for more than 3 days. * Focuses on coding high dollar and complex charts for lengthy hospital stays. * Assist HIM Coder I with coding complex charts for one (1) to three (3) day hospital stays. * Uses every available resource to code and abstract medical records timely and accurately. * Demonstrates the understanding of the coding and abstracting process by assigning the appropriate ICD-10-CM, CPT-4, HCPCS and APC Modifier codes to all outpatient and inpatient encounters. * Follows the hospital policies and procedures using sound coding judgment based on industry coding guidelines and regulations. * Follows the most current AHA coding Clinic Guidelines and the UHDDS Official Guidelines for coding and reporting diagnoses and procedures. * Configures professional E&M service levels based on record documentation and enters corresponding codes/charges appropriately into the system. * Keeps abreast of all coding compliance guidelines and semi-annual updates through ongoing education and independent research as required to maintain coding certification. * Queries physicians when code assignment is not straight forward or documentation is inadequate or ambiguous for coding purposes. * Communicates with the HIM Manager or HIM Supervisor regarding daily assigned tasks. * Checks email and other memos daily for department and hospital communication. * Effectively collaborates with HIM Technician III in reference to pending dictation or documentation for coding. * Reviews and verifies all accounts with an abstract status of In-Process as assigned by HIM Manager or HIM Supervisor. * Verifies the 5-days report as assigned by the HIM Manager or HIM Supervisor. * Reports and maintains accurate productivity levels and meets department productivity and quality standards. * Ability to function temporarily in other HIM roles as department workloads require without reservation. * Ability to perform other related HIM duties as assigned. Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.

About Firstsource Firstsource is a specialized global business process management partner. We provide transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other diverse industries. With an established presence in the US, the UK, India, Mexico, Australia, and the Philippines, we act as a trusted growth partner for leading global brands, including several Fortune 500 and FTSE 100 companies. Overview We are looking for a Senior Software Engineer to lead the design and execution of robust integration solutions within our BPaaS platform for healthcare payer clients. This role will drive system interface strategy and lead technical delivery across key client engagements using platforms like HealthEdge, Salesforce, and Edifecs. Key Responsibilities * Architect and implement scalable integration solutions for core payer workflows and data exchange. * Lead the design and optimization of APIs, ETL pipelines, and EDI file exchanges. * Partner with solution architects, engineering leads, and delivery teams to ensure project alignment. * Mentor junior developers and support code reviews, documentation, and knowledge sharing. * Monitor and resolve complex integration issues in production environments. * Ensure all solutions meet healthcare compliance standards including HIPAA and HITRUST. Required Skills & Experience * Bachelor's or master's degree in computer science, Engineering, or a related discipline. * 8-10 years of professional experience in software development and systems integration. * Expertise in at least two of the following platforms: HealthEdge, Salesforce, Edifecs. * Strong proficiency in Java, and advanced experience in either C# or C++. * Deep understanding of payer data formats, interoperability standards (EDI, HL7, FHIR), and payer platform workflows. * Proven experience in delivering large-scale integration solutions in healthcare environments. Preferred Qualifications * Experience with cloud-native tools (AWS Lambda, Step Functions, Azure Integration Services). * Proficiency in DevOps practices and tools (CI/CD, Docker, Terraform). * Agile development experience, with technical team leadership or project ownership. Firstsource maintains a Drug-Free Workplace. The company participates in E-Verify and we will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's I-9 to confirm work authorization. It is the policy of this Company to seek and employ qualified individuals at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation, insurance, benefits, promotion, transfer, and termination. To achieve this, we are dedicated to taking affirmative action to employ and advance in employment qualified individuals with disabilities, disabled veterans, and other eligible veterans.

Location: Work from Home (Mountain, Central and Eastern time zones preferred in the following States: PA, WY, CO, NV, AZ, KS, IA, MO, TX, MS, AL, TN, GA, FL, OH, MI only) Professional Credit Service is the Pacific Northwest's leading accounts receivable management firm, specializing in early-out and recovery services for healthcare providers. At Professional we do things a little differently, which is what sets us apart from our competitors. We provides uncompromised account recovery services for organizations. From Patient Financial Services Self-Pay, 3rd Party Follow Up, Overflow call center, patient outreach. We seek to humanize account management by providing patients with compassionate financial care and cutting-edge technologies that help them make the best decisions for their financial health and by doing so enhance consumer-client relationships. Do you consider yourself a problem-solver? Do you enjoy helping people? Are you looking for a career where you can make a meaningful impact on the lives of others? Then a Patient Advocate position with our Ensource service line might be for you! As a Patient Advocate, you have an opportunity to join our dynamic team, utilize cutting edge technologies, provide empathetic and caring customer service to patients, helping not just communities at large but also the health systems we all rely on- and you'll do it all while earning certification as a revenue cycle healthcare professional! Job Details: Position is Full-Time, 40 hours per week, working Monday - Friday, hours are between 7:30 am - 5:30 pm CST On the job training, in a fast paced, patient focused environment What Will You Be Doing as a Patient Advocate? Set up acceptable payment arrangements on current self-pay balances. Handle Inbound and outbound calls, data entry and update account information. Help patients by answering basic medical billing and insurance questions. Follow up on outstanding insurance claims by utilizing various insurance websites. Learn and utilize several healthcare database programs. Focus on problem resolution. Use strong analytical skills and ability to multi-task and manage a high volume of calls. Exercise excellent communication skills with a professional speaking voice. Qualifications Qualifications: Minimum of 1-year medical billing experience, working in Meditch, Epic, NextGen, or IDX. Dedicated, private room in your home that is quiet during work hours. Internet connection of 50 MB or more, which is hard-wired (Ethernet connected) from the modem to your company PC. Professional will provide all computer equipment after the initial training. Your desktop work surface must have room for 2 PC monitors. You will be required to sign and acknowledge these work-from-home requirements. Must have a personal cell phone to install a security application. Must be present in virtual work environment via company provided webcam during all working hours. Must be meeting minimum performance levels and KPI's. Have the desire to make a difference and help others. Top Reasons to Join Our Team: A stable organization offering an exciting yet challenging employment opportunity, Growth potential, both personally and professionally. HFMA CRCR certification in the medical industry. Great benefits (health, dental & vision insurance) the 1 st of the month following 60 days. We offer a traditional 401k/Roth Plan with discretionary matching. Paid Time-Off accruing up to 80 hours per year as of day 1 for the first 2 years (based on hours worked) along with 7 paid Holidays (after 60 days of employment) Paid Volunteer and Community Outreach Program that allows you to ‘help others' in the community , Compensation begins at $15.50-$17.00 per hour, depending on experience, plus monthly bonuses. See what it's like to work at Professional Credit by visiting our website at: http://professionalcredit.com/index.php/careers Get that career started by emailing your resume to: careers@en-source.com EOE/DFW

SCHEDULE: Monday through Friday Pay: $17 to $20 per hour, D.O.E. The Healthcare Collections Specialist performs specialized collection work. This task is performed on behalf of clients to help in reducing their outstanding accounts receivables. Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Duties and Responsibilities: * Maneuver between several different software systems documenting accurate and up to date information in the account history while maintaining confidentiality of account information * Maintain a confidential and orderly remote work area. * Assist with obtaining and updating debtors contact information in client systems * Answer inbound calls from patients who are requesting assistance with making a payment on their outstanding medical/healthcare accounts. This assistance may include providing suggestions of ways that a patient can find the resources to pay their account(s) or negotiate payment arrangements that are within the payment guidelines specific to the hospital or physician's office. * Place outbound calls to patients who have yet to establish a payment or payment arrangements to resolve their outstanding medical/healthcare bills. Upon contact, provide assistance and suggestions of ways that a patient can find the resources to pay their account(s) or negotiate payment arrangements that are within the payment guidelines specific to the hospital or physician's office. * Work closely within a virtual team atmosphere to accomplish daily productivity goals primarily regarding the number of calls made/received and the dollars collected each day. * Work closely within a virtual team atmosphere to accomplish monthly dollars collected goals. * Work virtually in a highly incented environment; contests and incentives are run weekly to ensure that all Collectors are motivated to work closely with patients and collect available monies. * Daily commitment and agree to remain up to date with all aspects of the collection laws and company compliance requirements to ensure that all steps are taken while working with patients is in full compliance and within the regulations of the Fair Debt Collection Practices Act (FDCPA). * Understand and agree to follow federal laws on collection practices Additional Duties and Responsibilities: * Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. * Maintain awareness of and actively participate in the Corporate Compliance Program. * Assist with other projects as assigned by management Educational/Vocational/Previous Experience Recommendations: * High school diploma or equivalent is required * Collection's experience is preferred * 6 months customer service experience * Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments * Ability to always present oneself in a courteous and professional manner * Ability to stay on task with little or no management supervision * Demonstrate initiative and creativity in fulfilling job responsibilities * Capacity to prioritize multiple tasks using time management and organizational skills. * Proficient PC knowledge and the ability to type 30-40 wpm. Working Conditions: * Work from office, virtual Call Center environment. * Must be able to sit for extended periods of time. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.