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Summary GENERAL SUMMARY: Leverages advanced nursing experience to lead the analysis of clinical quality performance programs and metrics, identifying actionable insights aligned with organizational goals. Facilitates ongoing compliance with regulatory, accreditation, and voluntary quality programs. Collaborates with leaders at all levels, providers, staff, and quality improvement teams to utilize nursing clinical expertise, data insights, and evidence-based practice to improve care processes and achieve patient-centered outcomes. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values., 2. *Provides expertise in quality performance programs from CMS, commercial payers, accreditation organizations, and related entities., 3. *Facilitates accurate and timely clinical quality data submissions to external entities in collaboration with IT and Data Analytics., 4. *Conducts clinical medical record reviews, utilizing nursing expertise, for quality measure abstraction, coded adverse event review, and clinical documentation improvement opportunities., 5. *Retrieves, assembles, and analyzes quality data using available benchmarks, nursing clinical knowledge, basic statistics, and evidence-based references to identify trends and actionable insights., 6. *Develops and maintains effective data visualizations and reports according to governance standards, in collaboration with Data Analytics., 7. *Develops and leads presentations on quality programs and performance insights., 8. *Serves as a liaison with regulatory, accreditation, and related entities, maintaining professional relationships, communication, and effective data submission for all requirements., 9. *Facilitates regulatory and accreditation surveys; hosts surveyors (often nurses), coordinates the survey process, and collaborates with internal stakeholders to develop effective follow-up plans., 10. *Coordinates the internal regulatory/accreditation tracer and process audit program, specializing in acute care nursing; utilizing clinical expertise and an interdisciplinary team, to ensure survey-readiness., 11. *Monitors changes in regulatory and accreditation requirements, communicating and coordinating to ensure sustained compliance., 12. *Consults to align effective measures and contribute to teams and projects, improving clinical workflows, clinical documentation, regulatory compliance, and patient-centered outcomes., 13. Supports the development and maintenance of organizational policies, procedures, and related documents, aligned with accreditation and regulatory requirements, along with evidence-based practice., 14. Supports the development, implementation, and ongoing assessment of the Quality and Safety Plan, and Corporate Compliance Plan., 15. Provides coaching and education to cross-functional nursing and clinical quality roles to support their development and standardization of workflows., 16. Maintains professional growth and development in healthcare quality through courses, webinars, publications, coaching/mentoring, or professional affiliations., 17. Participates in meetings, committees/quality teams, and projects as assigned., 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of anatomy, physiology, disease processes, and medical/pharmacological terminology., 2. Knowledge of hospital systems, medical records, coding principles, and reimbursement requirements., 3. Knowledge of regulatory, accreditation, and quality program standards., 4. Knowledge of operational excellence, standard metrics, and healthcare performance processes., 5. Knowledge of data governance, lifecycle management, and healthcare-related equipment, software, and tools., 6. Skill in quantitative and qualitative data collection, modeling, visualization, and analysis., 7. Skill in Microsoft 365 and job‑related software applications., 8. Skill in project management, change management, and facilitation of meetings, events, and shared decision‑making., 9. Skill in systematic, scientific improvement methods., 10. Skill in developing educational content, SOPs, reports, and data visualizations., 11. Ability to communicate effectively with diverse audiences and maintain strong working relationships., 12. Ability to prioritize multiple responsibilities and maintain confidentiality., 13. Ability to coach, mentor, and support colleagues., 14. Ability to adapt, learn, and perform effectively in rapidly changing environments., 15. Ability to interpret standards, validate measurement systems, and generate actionable insights from clinical and operational data., 16. Ability to manage interdisciplinary projects and complete accurate, timely submissions to external entities., 17. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Bachelors degree in Nursing, Health Information Management, Public Health, Healthcare Administration, or related field required. Current Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of five (5) years of progressive clinical experience in an acute care or comparable healthcare setting required. Clinical experience must include involvement in quality, patient safety, performance improvement, or regulatory activities. OTHER CREDENTIALS / CERTIFICATIONS: Certification relevant to quality, safety, accreditation, or performance improvement preferred. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for brief periods of time.

Summary GENERAL SUMMARY: Interprets and analyzes the patients medical record to assure the patients bill accurately reflects goods, supplies and services received. Responsible for reviewing all Medicare and other payers outpatient bills to identify if specific services are diagnostic, therapeutic, or radiologic, to identify self-administered drugs, and to determine other specific regulation requirements. Works closely with patients, insurance companies, hospital departments, physician practices, and outside agency auditors to support hospital protocol, resolve/negotiate questioned charges, work with Revenue Integrity Liaisons and Reimbursement Specialists to write payer appeals when clinical expertise is needed and provider patient estimates. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values., 2. *Audits patient billings against the medical record following final billing; ensures compliance with third party payer requirements and departmental guidelines., 3. *Per audit criteria, reviews Medicare bills to determine if services require specific billing data according to Medicare regulations and provides the information necessary for claims processing., 4. *Maintains data on patterns of charge or documentation errors by department and charge item; works with the Revenue Integrity Team and departments on quality improvement processes when applicable., 5. *Performs internal audits as required by the Medical Center Internal Audit committee guidelines., 6. *Completes external audits and/or researches denied charges by outside audit agencies; works closely with external auditors to reconcile charges and, if needed, re-audit records; negotiates questioned charges, conducts exit interview and works with department directors to resolve discrepancies., 7. *Researches disallowed charges on cost outliers and submits to the Medicare reviewers appeal letters and any documentation verifying/supporting services provided., 8. Researches medical records for other billing process information as directed by the Patient Accounts Manager., 9. *Provides accurate price estimates to callers for requested procedures and tests either verbally or in written form; maintains the Price Estimate Caller database and logs all price estimate requests; synthesizes ongoing patient data for procedure averages based on diagnosis ICD-9 codes., 10. Identifies charges related to specific services for split billing based on third party payer coverage requirements., 11. *Collaborates with Risk Management, Quality Management, corporate compliance and departmental staff to resolve or initiate procedures/protocol changes to improve total quality as needed., 12. *Collaborates with Patient Accounts Staff, Patient Experience staff, and other department staff concerning patient questions or complaints on billing issues., 13. *Calculates observation visit charges on all outpatient status patients and confirms entries; communicates and verifies patient status with Care Management staff and bed control staff to prevent discrepancies and/or duplicate/missed charges., 14. Advances work knowledge by participating in continuing education inservices, reading periodicals/literature and seeking ongoing development opportunities., 15. *Maintains knowledge of all new patient service/equipment charges and charging methods; informs Patient Accounts Manager of new items being documented in the medical record that are not in the CDM (Charge Data Master)., 16. Maintains awareness of financial reimbursement methodology, practices and regulations; participates in resource stewardship., 17. Attends staff meetings, mandatory inservices and other work-related meetings as appropriate., 18. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk *). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of medical documentation requirements., 2. Knowledge of patient medications, supplies and services provided within a healthcare environment., 3. Knowledge of clinical procedures performed in hospital ancillary, surgical and clinical departments., 4. Knowledge of nursing theory, practices/applications and new techniques., 5. Knowledge of billing, payer reimbursement policies, and diagnosis and procedural coding., 6. Knowledge of CMS, third party payer and Joint Commission regulations, quality improvement processes and corporate compliance plan., 7. Knowledge of computer hardware equipment and software applications relevant to work functions., 8. Knowledge of Charge Description Master and its relation to billing compliance and department revenue., 9. Knowledge of Microsoft Suite including word, excel, and power point., 10. Skill in constructive problem-solving and conflict resolution., 11. Ability to communicate effectively both verbally and in writing., 12. Ability to collaborate positively with co-workers and health care team members and to respond to patient/family needs with courtesy, consideration, tact and sensitivity., 13. Ability to evaluate documentations, interpret regulations and policies and make decisions in accordance with established precedent or protocols., 14. Ability to prioritize work demands and work with minimal supervision., 15. Ability to maintain confidentiality relevant to sensitive information., 16. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years clinical experience as a Registered Nurse required. Varied critical care and medical surgical experience preferred. Auditing experience preferred. Working knowledge of hospital charging, billing, and payer regulations. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Job Description Accounting Specialist (Accounts Payable) NMPP Energy, located in Lincoln, Nebraska, is seeking an Accounting Specialist to join our team. Use your accounting skills, attention to detail, and organizational abilities to support accounts payable and payment processing activities for the organization. In this role, you will work closely with staff across the organization to ensure invoices and payments are handled accurately, efficiently, and in accordance with company policies. The Accounting Specialist supports the mission of NMPP Energy by: • Reviewing payment transactions (accounts payable invoices, expense reimbursements, charge accounts, etc.) for accuracy, supporting documentation, and appropriate authorization; processing accounts payable invoices in an accurate and timely manner to ensure payment in accordance with vendor terms; ensuring invoices have proper approval documentation; determining appropriate account coding; recording transactions in the accounting system; and verifying payment accuracy prior to release., • Processing cash disbursements, including preparing supporting documentation and reports, and maintaining tracking logs for various company programs and initiatives., • Administering the corporate credit card program, including managing card issuance, limits, fraud claims, and the credit card charge reporting system., • Maintaining the electronic filing system for accounts payable invoices and retaining records in accordance with corporate policies and guidelines., • Maintaining W-9 files and processing annual 1099s., • Facilitating and monitoring the workflow system used to route invoices for review and approval., • Associate degree or equivalent from two-year college or technical school and 1-3 years of relevant work experience, or equivalent combination of education and experience., • Solid understanding of basic accounting principles and practices., • Exceptional attention to detail and accuracy in financial recordkeeping., • Ability to quickly learn, accounting software and systems., • Commitment to maintaining confidentiality of sensitive financial information., • An opportunity to join a highly engaged organization with a strong sense of purpose and a focus on providing exceptional service to our member communities., • Competitive Pay: $19.30 - $24.14/hour, • Medical, dental, vision and life insurance as well as generous company contributions to your Health Savings Account - We want you and your family to be healthy!, • 401(k). You put in 6 percent, we will put in 9 percent. Yes, 9! We want to invest in you and your future., • Generous PTO and 10 paid holidays., • Dress for your day, casual work attire., • Paid parental leave and short-term disability – because we know family always comes first!, • An opportunity to never stop learning. Enjoy assistance for tuition, books and other fees. At NMPP Energy, our power is in our people! We are a coalition of four organizations serving communities across the Central and Mountain states. We provide wholesale electricity and related services, along with wholesale and retail natural gas to municipalities—most of which are small, rural communities.

Job DescriptionSenior Software Developer | $110,000 - $140,000 per year| Direct Hire | Onsite to Hybrid What Matters Most: • Competitive Pay: $100,000 - $140,000 per year, • Full-time, Direct Hire, • Lead the full software development lifecycle (design, development, testing, and maintenance) for solutions built on a modern cloud platform, emphasizing quality, scalability, and security., • Provide technical leadership and guidance to project stakeholders, business analysts, and QA teams to ensure alignment with high-level business requirements., • Design, develop, and maintain high-quality applications using a modern tech stack including Angular, .NET (C#, .NET Core), HTML5, JavaScript, and other relevant languages/frameworks like Java/Gosu and React., • Oversee end-to-end implementation and customization of core P&C insurance systems (Policy, Claims, and Billing), including configuration, business rule development, and workflow design., • Manage system integrations with internal/external systems using various methods (REST APIs, SOAP, message queues, and batch jobs)., • Contribute to and define software development standards, design patterns, best practices, and technical documentation; perform code reviews and performance tuning., • Build, maintain, and administer SQL Databases and related software while managing version control systems like Git and SVN., • Act as a key technical resource and mentor for developers, providing training and guidance on design, coding, problem-solving, and ensuring adherence to departmental standards.Qualifications and Requirements:, • Education and Core Experience: Bachelor's degree in a related field or an equivalent combination of education, training, and senior-level work experience utilizing .NET (C#, .NET Core) and/or Java, along with strong proficiency in SQL Server., • Technical Proficiency: Extensive experience with Object-Oriented Programming (OOP), design patterns, clean code principles, and best practices., • Preferred Domain Expertise: Prior experience with the Guidewire platform (using Gosu) and possession of a Guidewire Cloud Developer Certification are highly desirable., • Problem Solving & Communication: Strong organizational, written, and oral communication skills, coupled with excellent problem-solving abilities., • Work Style: Proven ability to work effectively both independently (demonstrating initiative and ownership) and collaboratively as part of a high-performing team.Benefits and Perks:, • $100,000 - $140,000 base salary, • Medical, Dental and Vision benefits, • 401(k)with match Your New Organization: Join this top-rated organization with over 120 years of stability and a deep commitment to high standards for both clients and employees. This mission-based company is dedicated to serving its community while actively pursuing a complete digital transformation across the organization. Your Career Partner: The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment. The base salary range for this position is $100,000 - $140,000, excluding benefits, bonuses, or other compensation. Your final salary will depend on your skills, qualifications, experience, location, and internal pay equity. Please note, hiring at the top of the range is uncommon to allow room for future salary growth.

Job DescriptionBenefits: • Company shirts, • Medical, Dental and Vision Benefits, • Parental leave, • 401(k), • 401(k) matching, • Competitive salary, • Opportunity for advancement, • Paid time off, • Training & development Join the Paul Davis Team! Our company's mission is to provide opportunities for great people to deliver best in class results. There is a path for career growth, promotions and your future. Accounts Payable Associate $52,500 - $57,500 per year The Accounts Payable Specialist role will be responsible for providing data entry and clerical services to ensure efficient, timely and accurate payment to vendors and maintain an up-to-date payables system. This role is 100% in-person at our Lincoln office location. Essential Duties/Responsibilities • Enter all payables for the local office branch into accounting software, • Credit card charge recording and reconciling, • Gather and record job costs, • Complete and distribute vendor and Sub Contractor payments and customer payments, • Record and complete payment of overhead billing, • Responsible for recording transactions on corporate credit card, • Complete and close jobs in our main operating system, RMS, and accounting software, • Complete payments and maintain accounts for national vendor accounts, • Reconcile job costs and payables from RMS to accounting software, • Enter new losses as they come in, • Exercise judgement on coding of transactions, • Other duties as assignedCompetency Knowledge, Skills and Abilities:, • Knowledge of Microsoft Office applications (Outlook, Word, Excel, Teams, SharePoint), • Knowledge of SAGE and/or other accounting software, • Customer service and communication skills, • Computer skills, • Administration skills, • The ability to work under pressure, • Exceptional attention to detail, • Ability to learn and operate our primary operating systems: RMS, SharePoint, and One Drive, • Ability to create documents, • Ability to answer and communicate with customers over the phone, • Ability to work office equipment, • Ability to work independently, • Ability to learn Sage (accounting software), • Stress management and composure, • Maintain a level of confidentiality, • Ability to follow our Paul Davis Values, Vision, Mission, and 10 Serving BasicsRequired Education and Experience, • High School Diploma or GED required Work Environment The employee will be working in the confines of their own home location. The employee will attend trainings or conferences as needed. In the instance the employee will work from one of our office locations, the employee will be exposed to air conditioning and heat. Travel Minimal travel is required for training. Reasonable Accommodation for Disability Any applicant or employee, who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.

Job DescriptionSenior Frontend Engineer | $110,000 - $140,000 per year| Direct Hire | Onsite to Hybrid What Matters Most: • Competitive Pay: $100,000 - $140,000 per year, • Full-time, Direct Hire, • Lead the design and development of crucial enterprise applications, focusing on the frontend experience using Angular and complementary technologies like REACT and (C#) .NET., • Define and contribute to software development standards, patterns, and best practices for design, architecture, security, and quality across the IT department., • Develop high-quality, efficient, and well-documented code while actively participating in code reviews, unit testing, debugging, and performance tuning to ensure application reliability., • Serve as a go-to technical resource and mentor for Software Developers, providing guidance on design, coding practices, and complex problem-solving., • Manage and enhance the existing software solutions by identifying areas for improvement, implementing appropriate changes, and maintaining technical documentation (design specifications, deployment instructions)., • Collaborate within an Agile/Scrum environment, working closely with business stakeholders, gathering system design information, and ensuring development aligns with complex business requirements., • Maintain and integrate applications with internal systems using REST/SOAP APIs and message-based services, while staying current with emerging technologies and industry trends.Qualifications and Requirements:, • Bachelor’s degree or equivalent experience., • Expert-level proficiency in modern frontend frameworks, specifically Angular and/or React, alongside deep knowledge of JavaScript/TypeScript and HTML5/CSS3., • Demonstrated hands-on experience designing, building, and consuming APIs and microservices (REST, SOAP, or message-based)., • Proven ability to provide technical leadership and mentorship to junior and mid-level developers, fostering best practices and high-quality code., • Extensive experience working within an Agile/Scrum development environment with a strong understanding of sprint cycles, delivery, and iterative development., • A solution-oriented mindset with the proven capability to drive projects independently while effectively collaborating with cross-functional teams (e.g., QA, Business Analysts, Stakeholders).Benefits and Perks:, • $100,000 - $140,000 base salary, • Medical, Dental and Vision benefits, • 401(k)with match Your New Organization: Join this top-rated organization with over 120 years of stability and a deep commitment to high standards for both clients and employees. This mission-based company is dedicated to serving its community while actively pursuing a complete digital transformation across the organization. Your Career Partner: The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment. The base salary range for this position is $100,000 - $140,000, excluding benefits, bonuses, or other compensation. Your final salary will depend on your skills, qualifications, experience, location, and internal pay equity. Please note, hiring at the top of the range is uncommon to allow room for future salary growth.

Job Description Position open to candidates in PST zone The RCM Specialist I is an individual contributor role on the RCM team, responsible for front-end and mid-cycle revenue cycle tasks with a primary focus on insurance verification, claim submission, and customer service. This role ensures accurate eligibility and benefit gather across dental or medical payers, clean pre-authorization and claim generation, timely insurance processing, and a positive experience for patients and supported offices. The ideal candidate has a working knowledge of dental and medical billing processes, is detail-oriented, and is committed to delivering excellent service to both internal stakeholders and patients. KEY RESPONSIBILITIES • Perform all assigned RCM activities in accordance with best practices and internal SOPs., • Verify insurance coverage and benefits for scheduled patients using payer portals or phone calls., • Accurately enter and update insurance information in the practice management system., • Confirm eligibility, plan limitations, and coordination of benefits to ensure claims are submitted cleanly in the appropriate billing order., • Submit pre-determination and pre-authorizations requested by the patient or supporting practices with all necessary clinical attachments, follow-up on processing status, and notify practice of status return in a timely manner ensuring treatment is not delayed., • Prepare and submit claims (electronic, paper, or via portal) in accordance with payer-specific requirements and timelines., • Review rejected claims, identify causes, and resubmit corrected claims as needed., • Respond promptly and professionally to patient and office inquiries related to billing, insurance coverage, and balances., • Assist in creating and sending patient statements and following up on outstanding balances as directed., • Document all insurance verification results, pre-authorization and claim submissions, and patient interactions thoroughly and clearly., • Escalate issues related to claim delays, system errors, or patient concerns to the appropriate RCM team members or supervisors., • Maintain compliance with HIPAA, payer guidelines, and internal policies., • Participate in team meetings and training sessions to stay current on processes, tools, and payer updates., • Support other RCM functions as needed to ensure a smooth and efficient revenue cycle process., • Support RCM management in understanding and self-identifying contributing factors to site-specific RCM KPIs, highlighting areas of concern and areas for improvement. KPIs include but may not be limited to:, • Collection Rate: Monitor and report on the net collection rate, analyzing performance against targets. Collaborate with the team to identify opportunities for improvement., • Days in AR: Track and evaluate average days in AR to ensure appropriate advanced collection, payment application, efficient and accurate claim filing, and timely back-end billing and claim resolution. Investigate and address any delays or bottlenecks that may be causing extended days in AR., • % AR Over 90 Days: Review and analyze the percentage of AR over 90 days (insurance v. patient) to identify trends or issues requiring attention. Work with the team to reduce the percentage of aged receivables by implementing strategies to resolve outstanding claims and payments., • Maintain respect and professionalism in all interactions with internal stakeholders, patients, payers, third parties, and others ESSENTIAL QUALIFICATIONS, • Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process, • Must be knowledgeable of reimbursement/compliance process and procedures with all payors, • Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills). Strong computer literacy, Excellent Math and problem-solving skills. Data entry and 10-key by touch., • Strong interpersonal and organizational skills. Ability to work within a team setting and as an individual contributor. Excellent oral and written communication skills, • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures, • Organized work habits, accuracy, and proven attention to detail with strong analytical skills, • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures, • Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred

Job DescriptionSalary: DOE ALIVATION HEALTH, LLC Integrated Health Center | Next Level You Lincoln, NE 68526 A leader in integrated Mental Healthcare for over 20 years with Pharmacy, Primary Care, Aesthetics and Research divisions all in one location, where ideas and opinions are valued and expected, seeks a versatile and compassionate candidate to join our Billing Team in an innovative culture, putting the patients health and well-being first. CORE VALUES:Drive | Passion | Humility | Openness | Discipline JOB TITLE: Medical Billing Specialist STATUS: Regular Full-Time If you have a passion for the highest standard of patient care, enjoy a fast-paced full cycle workflow, and an innate learning desire that resonates our core values, we would like to meet you. Ultimately, you will play an important role on our team as a trusted resource for patient healthcare solutions, clinical support, and technical assistance to our providers. TALENT: • Eager, determined to achieve success, and committed to making a difference every day., • Compassionate and care deeply about our patients and their experience., • Love what you do and where you work., • Not afraid to ask questions and grow as a professional., • Ability to have open, honest conversations with patients and team members., • Self-motivated., • Believe in integrity in everything you do. KEY RESPONSIBILITIES:(Job Description Available Upon Demand) • Supports and implements the practice mission and strategic vision within their respective departments., • Handles confidential information requiring professional discretion and compliance with protected health information, data integrity and security policies., • Facilitating the billing process from start to finish., • Preparing and submitting claims to insurance companies., • Identifying and resolving errors with coding and billing., • Establishing payment plans., • Assigns appropriate ICD-10 codes., • Queries medical staff when code assignments are not straightforward or documentation in the record is unclear for coding purposes., • Responsible for answering patient billing questions and telephone calls., • Other clinical or administrative duties as assigned to meet practice needs. QUALIFICATIONS: High School Diploma | Knowledge of Healthcare Standard Concepts, Practices & Procedures | Familiar with EMR Systems | Proficient in Microsoft Computer Platforms EXPERIENCE: One-year direct patient contact experience in a medical office setting COMPENSATION:Competitively Based COMPREHENSIVE BENEFITS PACKAGE: • Clinic-Owned, Innovative Aesthetic Environment, • Discounted Primary Care Office Visits for Employees, • Amazing Team Culture, • Company-Sponsored Events, • No On-Call Shifts, • No Nights, Weekends or Holidays, • Corporate Employee Discounts, • Free Parking, • 91 Hours PTO, • Seven Paid Holidays, • Health Insurance (Employee Premium Allotment), • Dental Insurance, • Vision Insurance, • Short-Term & Long-Term Disability Insurance, • Paid Life Insurance Policy, • Employee Assistance Program (EAP), • Health Savings Account, • 401(k) Matching Retirement Plan EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER:The Practice provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Job DescriptionJob Title: RCM Manager - Regional Reports To: Director Revenue Cycle Management Location: Remote Last Updated: 1/19/2026 ROLE OVERVIEW The Revenue Cycle Management (RCM) Regional Manager is responsible for overseeing all revenue cycle operations for a defined region within Paradigm Oral Health. This role provides direct leadership to multiple RCM supervisors and clinic-aligned billing and AR teams, ensuring consistent execution of centralized RCM workflows while maintaining strong operational alignment with individual practices. The Regional RCM Manager is accountable for regional performance across medical and dental billing, collections, denial management, and patient balances, with a focus on driving results, standardizing processes, and escalating systemic issues for resolution at the enterprise level. The successful candidate will demonstrate strong ability to collaborate with various departments, ensure compliant and scalable processes, communicate with insurance providers, provide seamless central support for offices, and elevate the patient financial experience. Comfort communicating with Operations leadership and oral surgeons is crucial for success in this role. KEY RESPONSIBILITIES: • Oversee and manage the RCM teams supporting the assigned Region. Lead, coach, and develop RCM supervisors and team members across all RCM functions and practice support models., • Responsible for at least the following functions: insurance verification, billing, statement generation, insurance follow-up, collections placement, cash posting, office escalations and patient inquiries, and others., • Review and “spot check” claims, statements, and other staff activities to evaluate if work product is produced efficiently and effectively, documenting any trends that need improvements., • Ensure compliance with federal and state billing regulations; CMS, commercial payer, and dental payer requirements; as well as No Surprises Act, prompt-pay rules, and payer notification standards, • Provide support to all team members as needed for arising situations (i.e field questions, practice relations, employee interactions, etc), • Continuously evaluate RCM processes to identify inefficiencies or areas for improvement. Propose and implement strategies to streamline workflows and improve the net collection rate, reduce days in AR, and lower the percentage of AR over 90 days., • Schedule, plan, and run team meetings to discuss accounts, goals, and improvements., • Provides education and training for new and existing staff members, • Completes corrective action meetings including verbal or written warnings with assistance from Human Resources, • RCM Ticketing and Teams Communication: Review speed and effectiveness of resolution of practice needs, account questions, and communication back to practice and/or patient. Ensure response time follows SLA and appropriately addresses initial ask., • Audit team performance weekly and ensure that all RCM activities are processed in a timely, accurate, and compliant manner according to SOP and KPIs per role, holding team members accountable to target metrics., • Collaborate with other departments, such as finance, operations, credentialing, and clinical teams, to drive alignment and coordination across the revenue cycle continuum., • Set clear performance expectations, accountability structures, and career development pathways for team members., • Foster a culture of collaboration and communication to support organizational objectives., • Provide feedback to RCM Director and VP to support quarterly and annual performance reviews for all team members., • RCM Ticketing: Review speed and effectiveness of resolution of practice needs, account questions, and communication back to practice and/or patient. Ensure response time follows SLA and appropriately addresses initial ask., • Partner with Compliance and Legal teams on audits, payer reviews, and corrective action plans., • Ensure teams are appropriately staffed in relation to volume-based staffing model per regional practice, and role alignment per team member is positively impacting RCM metrics., • Review trends MoM to assist in setting departmental goals related to RCM metrics and provide input into strategic initiatives aimed at improving financial performance., • Report any compliance concerns to RCM Director or VP, and assist with resolution of compliance issues or discrepancies, working closely with the compliance department as needed., • Act as point of escalation for site leadership when account or patient questions arise. Coordinate research with appropriate role-specific team member and review outcomes with site leadership and/or direct manager., • Develop and maintain strong relationships with the practice operations team, practice administrators, and surgeons from support practices. Understand their businesses and preferred methods of central RCM support to provide an effective and functional services relationship., • Other duties and responsibilities as assigned by leadership, • Key RCM metrics:, • Days in A/R – total and by payer type, • A/R Aging – 90 and 120+, • Clean Claims Rate, • Rejection Rate, • First-pass payment rate, • Net Collection Rate, • Credit balance resolution, • Cost-to-collect ESSENTIAL QUALIFICATIONS: • Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process, • Must be knowledgeable of reimbursement/compliance process and procedures with all payors, • Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills). Strong computer literacy, Excellent Math and problem-solving skills. Data entry and 10-key by touch., • Strong interpersonal and organization skills. Ability to work within a team setting and as an individual contributor. Excellent oral and written communication skills, • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures, • Organized work habits, accuracy, and proven attention to detail with strong analytical skills

Job Description The RCM Specialist I is an individual contributor role on the RCM team, responsible for front-end and mid-cycle revenue cycle tasks with a primary focus on insurance verification, claim submission, and customer service. This role ensures accurate eligibility and benefit gather across dental or medical payers, clean pre-authorization and claim generation, timely insurance processing, and a positive experience for patients and supported offices. The ideal candidate has a working knowledge of dental and medical billing processes, is detail-oriented, and is committed to delivering excellent service to both internal stakeholders and patients. KEY RESPONSIBILITIES • Perform all assigned RCM activities in accordance with best practices and internal SOPs., • Verify insurance coverage and benefits for scheduled patients using payer portals or phone calls., • Accurately enter and update insurance information in the practice management system., • Confirm eligibility, plan limitations, and coordination of benefits to ensure claims are submitted cleanly in the appropriate billing order., • Submit pre-determination and pre-authorizations requested by the patient or supporting practices with all necessary clinical attachments, follow-up on processing status, and notify practice of status return in a timely manner ensuring treatment is not delayed., • Prepare and submit claims (electronic, paper, or via portal) in accordance with payer-specific requirements and timelines., • Review rejected claims, identify causes, and resubmit corrected claims as needed., • Respond promptly and professionally to patient and office inquiries related to billing, insurance coverage, and balances., • Assist in creating and sending patient statements and following up on outstanding balances as directed., • Document all insurance verification results, pre-authorization and claim submissions, and patient interactions thoroughly and clearly., • Escalate issues related to claim delays, system errors, or patient concerns to the appropriate RCM team members or supervisors., • Maintain compliance with HIPAA, payer guidelines, and internal policies., • Participate in team meetings and training sessions to stay current on processes, tools, and payer updates., • Support other RCM functions as needed to ensure a smooth and efficient revenue cycle process., • Support RCM management in understanding and self-identifying contributing factors to site-specific RCM KPIs, highlighting areas of concern and areas for improvement. KPIs include but may not be limited to:, • Collection Rate: Monitor and report on the net collection rate, analyzing performance against targets. Collaborate with the team to identify opportunities for improvement., • Days in AR: Track and evaluate average days in AR to ensure appropriate advanced collection, payment application, efficient and accurate claim filing, and timely back-end billing and claim resolution. Investigate and address any delays or bottlenecks that may be causing extended days in AR., • % AR Over 90 Days: Review and analyze the percentage of AR over 90 days (insurance v. patient) to identify trends or issues requiring attention. Work with the team to reduce the percentage of aged receivables by implementing strategies to resolve outstanding claims and payments., • Maintain respect and professionalism in all interactions with internal stakeholders, patients, payers, third parties, and others ESSENTIAL QUALIFICATIONS, • Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process, • Must be knowledgeable of reimbursement/compliance process and procedures with all payors, • Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills). Strong computer literacy, Excellent Math and problem-solving skills. Data entry and 10-key by touch., • Strong interpersonal and organizational skills. Ability to work within a team setting and as an individual contributor. Excellent oral and written communication skills, • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures, • Organized work habits, accuracy, and proven attention to detail with strong analytical skills, • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures, • Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred