CoxHealth

Contract Specialist

• Assist network providers with contractual issues
• Act as a trainer/educator on CoxHealth Network contracts for network providers and their staff
• Organize and host meetings when required
• Perform initial and recredentialing on-site reviews and chart audits for providers as needed
• Resolve contracts and deliver and interpret policy and procedure changes related to specific contracts
• Communicate regulatory changes related to the insurance industry as needed
• Research new technology related to payors' medical necessity and coverage
• Maintain contacts and provide educational information to network, tertiary/affiliate PHO networks impacting over 3,000 providers/facilities
• Organize, prioritize, and multitask to execute projects and daily workflow

Contract Resolution Specialist

Educator

• Coordinate with leaders throughout the organization
• Perform education audits
• Provide education trends and identify education needs
• Train and educate end-users across the Revenue Cycle, including computer system training and other Revenue Cycle-related content
• Share education duties including classroom instruction and credentialing
• Conduct quality reviews and needs assessments
• Contribute to curriculum development and maintenance
• Develop and maintain online education modules
• Schedule and coordinate classes
• Complete special project assignments as needed
• Participate in process improvement initiatives, workgroups, systems testing, and upgrade implementations

Revenue Cycle Educator

Call Center Representative

• Manage interactions with consumers to ensure a high level of customer service
• Answer consumer inquiries
• Direct consumers to the appropriate department
• Provide centralized scheduling services for clinics
• Perform other duties that help patients easily access their providers

Contact Center Specialist II

Medical writer

• Facilitate timely and accurate physician documentation in the medical record through concurrent chart review
• Communicate and collaborate with physicians, nursing, ancillary staff, and Health Information Management coders
• Provide ongoing education to the patient care team regarding proper clinical documentation using approved guidelines
• Understand and utilize ICD-10-CM and PCS coding assignments
• Follow Official Coding Guidelines

Clinical Documentation Specialist

Therapist

• Provides professional respiratory-focused intervention during all phases of the patient care stay
• Assesses patients and assists in determining a respiratory plan of care based on physical assessment, diagnosis, and patient history
• Provides medicated and non-medicated therapies
• Provides invasive and noninvasive ventilation
• Administers and titrates oxygen
• Performs diagnostic testing related to ventilation and pulmonary function
• Performs arterial blood gas analysis
• Documents care accurately and appropriately in electronic systems
• Educates patients, students, and new staff

Registered Respiratory Therapist – Respiratory Care

• Manage interactions with consumers to ensure a high level of customer service
• Answer consumer inquiries
• Direct consumers to the appropriate department
• Provide centralized scheduling services for clinics
• Perform other duties to ensure patients can easily access their providers

Claims Specialist

• Review and accurately adjudicate all member and provider submitted medical claims
• Perform accurate data entry of paper claim forms
• Validate scanned data recognized by scanning software
• Document members’ responses to inquiry letters

CHP Claims Analyst

Director

• Provide day-to-day leadership, operations, and performance oversight for consumer experience and business development teams
• Support execution of strategic initiatives to enhance consumer experience, strengthen customer relationships, expand business opportunities, and drive organizational growth
• Lead operational activities across consumer experience and business development functions
• Ensure alignment with organizational goals, service excellence standards, and growth objectives
• Collaborate with operational, clinical, and administrative leaders
• Improve consumer engagement and remove service barriers
• Optimize processes and strengthen customer relationships
• Support business growth initiatives
• Foster a consumer-focused culture
• Ensure business development and engagement teams meet performance expectations and strategic objectives

Director of Business and Consumer Engagement

General

• Provide and facilitate non-emergency patient transportation
• Transport patients from pickup locations to destinations in a timely manner
• Maintain a clean vehicle and workspace
• Provide kind and safe transportation

Contract Resolution Specialist

Revenue Cycle Educator

Contact Center Specialist II

Clinical Documentation Specialist

Registered Respiratory Therapist – Respiratory Care

Contact Center Specialist II

CHP Claims Analyst

Director of Business and Consumer Engagement

Medical Transport Specialist