Urwah Admin

Mac Care

Job SummaryThe IT Operations Manager will be responsible for maintaining and overseeing the company&rsquo;s critical IT infrastructure, including operating systems, communication platforms, IT security, business applications, and end-user devices. The role requires hands-on technical expertise in managing enterprise IT operations, ensuring uptime, security, and efficiency across the organization&rsquo;s technology stack. The ideal candidate will also manage IT assets, procurement, and system upgrades while ensuring seamless operations and business continuity.Key Responsibilities<ul><li>Manage and maintain operations-critical IT infrastructure, including servers, operating systems, security tools, and communication systems.</li><li>Oversee the administration of Microsoft 365, Exchange, SharePoint, Teams, OneDrive, and Active Directory (on-premises and Azure AD).</li><li>Plan and execute rollout of system updates, patches, and migration projects for various platforms and services.</li><li>Implement and monitor data backup solutions (Ditto, Acronis, Azure Backup) and ensure disaster recovery readiness.</li><li>Manage IT security solutions (FortiGate, SonicWall, Sophos, SentinelOne, Microsoft DLP, Zix Email Encryption, BitLocker) to protect company data and infrastructure.</li><li>Oversee network operations, including Ubiquiti Access Points and VoIP systems (Univerge Blue).</li><li>Administer hardware and endpoint devices, including Dell/Lenovo workstations, HP/Brother printers, and Fujitsu scanners.</li><li>Track and manage IT inventory, vendor relationships, and procurement of technology assets.</li><li>Conduct performance monitoring, reporting, and capacity planning for IT systems.</li><li>Provide technical leadership and ensure smooth day-to-day IT operations across the organization.</li></ul>Candidate Qualifications<ul><li>Bachelor&rsquo;s degree in Information Technology, Computer Science, or a related field.</li><li>ITIL or equivalent professional certification preferred.</li><li>Strong expertise in Microsoft Administration, Exchange, and Active Directory.</li><li>Knowledge of communication and collaboration tools (Teams, VoIP, etc.) preferred.</li></ul>Candidate Experience<ul><li>5&ndash;7 years of hands-on experience in managing IT operations.</li><li>Proven track record of overseeing enterprise IT infrastructure, systems migrations, and security implementations.</li><li>Strong troubleshooting, problem-solving, and performance monitoring skills.</li></ul>Current Technology Stack<ul><li>Operating Systems: Windows 10 &amp; 11, Linux, macOS</li><li>Cloud Platforms: Microsoft Azure, Azure Virtual Desktop</li><li>Identity Management: Microsoft Active Directory (on-prem &amp; Azure AD)</li><li>Productivity: Microsoft 365 (O365), SharePoint, Teams, OneDrive</li><li>Backup: Ditto, Acronis, Azure Backup</li><li>Security: FortiGate, SonicWall, Sophos</li><li>Network: Ubiquiti Access Points</li><li>RMM Tools: Atera</li><li>Endpoint Protection: SentinelOne</li><li>VoIP: Univerge Blue</li><li>Data Protection: Zix Email Encryption, Microsoft DLP, BitLocker</li><li>Hardware: Dell &amp; Lenovo workstations, HP &amp; Brother printers, Fujitsu scanners</li></ul>Job Type: Full-timeWork Location: In person

IT Operations Manager

SummaryThe Medication Adherence &amp; Quality Performance Specialist will uphold the highest quality care for all assigned patients, understanding the regulatory reporting requirements for quality measure compliance. This role will assist the organization in staff training, coordination, and outreach events, as well as documented compliance with quality measures in accordance with HEDIS and/or payer quality requirements.The Medication Adherence &amp; Quality Performance Specialist will report to the Director of HEDIS &amp; Payer Quality Performance. The Population Health Team is committed to supporting IntraCare&rsquo;s network of primary care physicians to achieve improvements in patient care outcomes and financial rewards related to value-based care. Population Health Team members must have a passion for patient care and creative innovation and insight into programs that support the company&rsquo;s goals and initiatives.Key Responsibilities:<ul><li>Outreaches to medical practices, providers, and patients with recommendations for health screenings, patient assessments, management of chronic conditions, and well-care visits.</li><li>Successfully engages patients directly via telephone and overcomes objections to compliance by providing education, facilitating resources, navigating benefits, and arranging needed care.</li><li>Supports provider practices in identifying workflow gaps and suggesting best practices to improve performance in clinical and quality metrics. Performs virtual visits with practices as needed.</li><li>Tracks all tasks closely to completion and reports progress in order to ensure positive performance results.</li><li>Collects and enters data with high attention to detail. Documents information completely, accurately, and in a timely manner. Keeps records of customer interactions, demographic updates, and other key details.</li><li>Builds and maintains professional relationships with individuals and organizations that can support IntraCare&rsquo;s goals including but not limited to health plan representatives, provider practices, and internal departments.</li><li>Accurately and efficiently conducts medical record review and abstraction. Scans relevant components for the medical record to support reviews performed.</li><li>Works collaboratively with Network and MSO departments to improve quality results.</li><li>Optimizes customer satisfaction with both providers and patients.</li><li>Maintains confidentiality and adheres to HIPAA requirements including communication procedures, guidelines, and policies.</li><li>Proactively escalates gaps and issues of attention to supervisor or designated business owner</li><li>Establish an organizational structure for savings, compiling, and reporting out on data</li><li>Navigate vendor portals, electronic medical records, and internal systems to extract and process data</li><li>Create executive reports and presentations to communicate Key Performance Indicators (KPIs)</li><li>Utilize organizational applications to effectively communicate with employees and customers</li><li>Other duties as assigned.</li></ul>Required Qualifications:<ul><li>Pharm.D ( Doctor of Pharmacy ) from a reputable University</li><li>Ability to multi-task and work under narrow timelines</li><li>Basic understanding of the healthcare industry</li><li>Professional conduct and communication skills set with basic English language</li><li>1+ years of working experience with Microsoft Word and Excel (particularly for reporting)</li><li>Software literate to grasp different interfaces of different EMRs</li><li>Demonstrated ability to work independently toward established goals, attention to detail and problem-solving skills</li><li>Target orientated personality and attitude</li><li>Keen to learn and expand knowledge within the industry</li></ul>Preferred Qualifications:EMR (Electronic Medical Records) knowledge and experience<ul><li>Relevant experience in the healthcare industry</li></ul>Familiarity with medical terminology<ul><li>1+ years of HIPAA compliance requirements knowledge</li></ul>Experience in Medicare programs, such as Medicare Advantage, Medicare Shared Savings, and Accountable Care OrganizationsJob Type: Full-timeWork Location: In person

Medication and Quality Performance Specialist

Position OverviewWe are seeking an experienced Offshore RCM Manager to oversee revenue cycle operations for a U.S.-based Family Practice Groups. This role is responsible for managing offshore billing operations with a focus on accuracy, timeliness, compliance, and performance. The ideal candidate will have extensive experience in outpatient RCM workflows, excellent leadership capabilities, and a strong understanding of family practice-specific coding, payer rules, and patient billing sensitivities.The Offshore RCM Manager will serve as a key operational leader, ensuring that offshore teams support the client&rsquo;s financial goals through effective claims processing, denial management, and patient revenue capture&mdash;while maintaining strict adherence to U.S. healthcare regulations.Key Responsibilities<ul><li>RCM Oversight: Manage end-to-end offshore revenue cycle functions for a family medicine practice, including charge entry, claim submission, payment posting, denial management, accounts receivable follow-up, and patient collections.</li><li>Team Leadership: Lead and develop offshore team leads and staff across multiple functions; ensure adherence to quality and productivity targets.</li><li>Performance Optimization: Monitor and manage KPIs such as Clean Claim Rate, Days to Bill, Denial Rate, and Collection Rate. Implement action plans for underperforming areas.</li><li>Workflow Alignment: Collaborate with onshore RCM and clinical staff to ensure workflows align with front-end processes such as eligibility verification, prior authorization, and point-of-service collections.</li><li>Quality Control &amp; Compliance: Enforce HIPAA compliance and client-specific SLAs. Conduct regular audits and QA checks to ensure claim accuracy and coding integrity, especially for E/M coding, preventive services, and chronic care management.</li><li>Reporting &amp; Communication: Provide routine reporting and updates to onshore leadership; proactively flag risks and recommend corrective actions.</li><li>Training &amp; Onboarding: Oversee training for new hires and ongoing development for existing team members to maintain high competency in family practice billing procedures.</li><li>Technology Utilization: Ensure effective use of PM/EHR systems (e.g., Athenahealth, NextGen, eClinicalWorks) and RCM tools to streamline operations. Collaborate on automation opportunities where applicable.</li></ul>Required Qualifications<ul><li>Minimum 5 years of experience in medical billing or revenue cycle management, with at least 2 years in a leadership role managing offshore teams.</li><li>Specialized experience in family medicine, internal medicine, or other primary care billing.</li><li>Strong understanding of outpatient coding (ICD-10, CPT, HCPCS) including E/M coding, wellness visits, immunizations, and chronic care coordination.</li><li>Proficiency with RCM systems and billing software; experience with Athenahealth, eCW, or comparable platforms is strongly preferred.</li><li>Exceptional verbal and written communication skills in English.</li><li>Demonstrated ability to lead remote teams, track performance metrics, and ensure accountability.</li></ul>Preferred Attributes<ul><li>CPC or CPB certification (AAPC or equivalent) is a plus.</li><li>Familiarity with U.S. payer policies, including Medicare, Medicare Advantage and major commercial payers.</li><li>Experience with Accountable Care organizations (ACOs)</li><li>Experience supporting multi-provider, multi-location family practice groups.</li><li>Strong analytical skills with the ability to interpret data and implement data-driven improvements.</li></ul>Job Type: Full-timeWork Location: In person

RCM Manager

Job Summary:We seek candidates to join our organization as Accounts Receivable Specialists for night shift operations. The accounts receivable specialist is responsible for managing the billing and coding process for medical services provided by the healthcare facility. This position requires attention to detail, familiarity with healthcare insurance policies and medical terminology, and proficiency in coding and billing software. The ideal candidate will ensure accurate and timely submission of claims, resolve billing discrepancies, and ensure compliance with healthcare regulations.Key Responsibilities:<ul><li>Claims Submission: Submit medical claims to insurance companies, government agencies (Medicare/Medicaid), and patients for payment.</li><li>Insurance Verification: Verify patient insurance information, ensuring accuracy of coverage, billing, and coding before claims are submitted.</li><li>Coding: Review patient charts and assign appropriate ICD-10, CPT, and HCPCS codes for services rendered.</li><li>Payment Posting: Post payments from insurance companies and patients into the billing system, ensuring correct allocation.</li><li>Account Management: Monitor patient accounts for outstanding balances, payment discrepancies, and aging reports.</li><li>Claim Follow-up: Follow up on denied, rejected, or unpaid claims by contacting insurance providers or patients and resolving issues.</li><li>Patient Communication: Communicate with patients to explain bills, payment plans, and outstanding charges.</li><li>Compliance: Ensure that all billing practices adhere to federal, state, and insurance regulations, including HIPAA compliance.</li><li>Reporting: Prepare and submit regular billing reports, including status updates on unpaid claims, outstanding patient balances, and financial projections.</li><li>Collaboration: Work closely with other departments (medical providers, front desk staff, coding team) to ensure accurate billing and resolution of discrepancies.</li><li>Dispute Resolution: Investigate and resolve billing disputes by working with insurance companies, patients, and healthcare providers.</li></ul>Qualifications:<ul><li>Experience: At least 1+ years of experience in medical billing, coding, or a related healthcare administrative role.</li><li>Knowledge: Strong knowledge of medical billing procedures, insurance verification, ICD-10, CPT, and HCPCS codes.</li><li>Technical Skills: Proficient with billing software and EHR (Electronic Health Record) systems. Familiarity with Microsoft Office Suite (Excel, Word).</li><li>Communication Skills: Strong written and verbal communication skills to interact effectively with patients, insurance companies, and healthcare providers.</li><li>Attention to Detail: High level of accuracy and attention to detail to avoid billing errors and discrepancies.</li><li>Organizational Skills: Ability to manage multiple accounts and tasks in a fast-paced environment.</li><li>Problem-Solving: Strong analytical and troubleshooting skills to resolve issues quickly and efficiently.</li></ul>Preferred Skills:<ul><li>Experience with Specific Payer Systems: Experience working with major insurance companies and government payers.</li><li>Familiarity with ICD-10 Updates: Knowledge of ongoing changes in coding regulations and payer requirements.</li></ul>Job Type: Full-timeWork Location: In person

Accounts Receivable Specialist

Join Mac Care and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Mac Care

ABOUT_COMPANY

IT Operations Manager

Medication and Quality Performance Specialist

RCM Manager

Accounts Receivable Specialist