Qureos Mentor

MPOWERHealth

<div>Overview:
<div><b>
HaloMD</b></div><div></div><div><b><br>
Who We Are:</b></div><div>
We are a fast-growing arbitration/medical billing company looking for a positive person who is interested in being a success and will help take the company to the next level. The seasoned professional for this job needs superior communication and computer skills including familiarity, with Microsoft Outlook, Word and Excel. This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.</div><div></div><div><b><br>
Job Summary</b></div><p>
The Quality Assurance Arbitration Specialist II will coordinate the staff&rsquo;s daily operations with a focus on ensuring high-quality work and compliance with established standards. This role has overall responsibility for training and developing the skills of new quality assurance team members, conducting regular audits, identifying process gaps, and recommending improvements. The Specialist II will maintain and update all QA forms, newsletters, and training guides to support ongoing quality initiatives.</p>
Responsibilities:
<div><b>
Essential Job Duties and Responsibilities</b></div><ul><li>
Train new QA team members on quality assurance forms, workflows, and best practices.</li><li>
Monitor all quality assurance forms, audit completed work for accuracy, and update auditing templates as needed.</li><li>
Conduct regular quality reviews to ensure compliance with company policies, arbitration procedures, and industry regulations.</li><li>
Develop and distribute monthly newsletters with tips, updates, and quality improvement strategies for team members.</li><li>
Utilize Microsoft Office (especially Excel) to create performance tracking tools, including formulas, pivot tables, and filters for data analysis.</li><li>
Assist in identifying trends by Arbitrator/Health Plan and report recurring issues.</li><li>
Identify system errors and coordinate with appropriate departments for resolution.</li><li>
Organize QA findings into concise, actionable reports for leadership review.</li><li>
Re-prioritize key tasks as needed and meet regularly with upper management to present findings, trends, and improvement plans.</li><li>
Maintain documentation of audit results, corrective actions, and follow-up to ensure improvement.</li><li>
Provide clear, constructive feedback to team members to help them meet quality and productivity goals.</li><li>
Develop training guides and process documentation to ensure consistent quality standards.</li><li>
Strong understanding of insurance plans, medical billing processes, and policies.</li><li>
Demonstrate professionalism and confidentiality in all internal and external interactions.</li><li>
Apply analytical and problem-solving skills to identify root causes of quality issues and recommend preventive measures.</li>
Complete special projects and other duties as assigned.<br>
<li>
</li></ul>
Qualifications:
<div><b>
Education and/or Experience</b></div><ul><li>
High School Diploma or equivalent required</li><li>
Minimum of 2 years Revenue Cycle Management Experience</li><li>
IDR experience (preferred)</li><li>
Leadership experience (preferred)</li></ul><div><b>
Skills/Specialized Knowledge</b></div><ul><li>
Strong organizational analytical and problem-solving skills</li><li>
Knowledge of insurance industry</li><li>
Knowledge of independent dispute resolution process</li><li>
Ability to clearly communicate both verbally and in writing</li><li>
Knowledge of medical terminology</li><li>
Knowledge of CPT, and/or ICD-10</li><li>
Friendly, outgoing personality</li><li>
Basic knowledge of company policies and procedure</li><li>
Knowledge of legal and regulatory government provisions</li><li>
Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above</li><li>
Experience with MS Office applications including Word, Excel, Access, Outlook, PowerBI</li></ul><div><b>
Other Requirements</b></div><ul><li>
Must maintain professional appearance</li><li>
Ability to be at work at regular and consistent times</li></ul><h3 class="jobSectionHeader"><b>
Perks &amp; Benefits:</b></h3><ul><li>
Fully Remote &ndash; Work from anywhere within the United States with reliable high-speed internet</li><li>
Multiple medical plan options
</li><li>Health Savings Account with company contributions</li><li>
Dental &amp; vision coverage for you and your dependents</li><li>
401k with Company match</li><li>
Vacation, sick time &amp; Company paid holidays</li><li>
Company wellbeing program with health insurance incentives</li></ul><h3 class="jobSectionHeader"><b>
What&rsquo;s Next?</b></h3><div>
If you&rsquo;re ready to bring your skills, passion, and leadership to our growing team, <b>we want to hear from you!</b> Apply today and help us create a future where success is the standard.</div><div></div><div><br>
#IND123</div></div>

Quality Assurance Arbitration Specialist II - Shared Services

<div>Overview:
<p><b>
HaloMD</b></p><p></p><p><b><br>
Who We Are:</b></p><p>
HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements.</p><div></div><div><b><br>
Job Summary:</b></div><div></div><div><br>
The <b>Senior</b> <b>Business Analyst</b> is responsible for supporting the development and implementation of software applications across the organization by refining requirements, validating data, and assisting with testing activities. This role involves working closely with the Product Owner, stakeholders, and cross-functional teams throughout the full SDLC process to ensure that features are clearly defined, testable, and aligned with business needs. The role also includes hands-on analysis of system behavior and data, supporting backlog grooming, and ensuring that new features are delivered with clarity, accuracy, and measurable value.</div>
Responsibilities:
<p><b>
Essential Duties and Responsibilities:</b></p><p></p><p><b><br>
Requirements &amp; Story Refinement:</b></p><ul><li><ul><li>
Work with the Product Owner and business stakeholders to refine user stories, acceptance criteria, and feature definitions.</li><li>
Break down high-level product features into clear, detailed, and testable requirements.</li><li>
Own and manage documentation that supports development including user flows, UI designs, edge cases, and validation logic.</li></ul></li></ul><p><b>
Analysis &amp; Data Investigation:</b></p><ul><li><ul><li>
Use SQL or other query tools to analyze data and validate assumptions behind features or bugs.</li><li>
Identify patterns or anomalies in data that impact workflows or automation rules.</li><li>
Support troubleshooting efforts by digging into the underlying data or system behavior.</li></ul></li></ul><p><b>
Testing &amp; QA Support:</b></p><ul><li><ul><li>
Collaborate with QA to define and verify test cases aligned to requirements.</li><li>
Support user acceptance testing (UAT), including preparing test scenarios and capturing feedback.</li><li>
Validate production changes and assist in regression testing where needed.</li></ul></li></ul><p><b>
Cross-Functional Collaboration:</b></p><ul><li><ul><li>
Serve as a bridge between business SMEs and the technical team, ensuring both sides understand what&rsquo;s needed and why.</li></ul></li></ul><br>
<p></p><ul><li><ul><li>
Participate in sprint ceremonies such as grooming, planning, and demos.</li><li>
Help ensure traceability of features from concept through delivery and validation.</li></ul></li><li>
Identify opportunities to streamline support processes, improve system usability, and enhance overall support delivery through automation, feedback loops, and documentation enhancements.</li></ul>
Qualifications:
<p><b>
Required Qualifications:</b></p><div></div><div><b><br>
Education and/or Experience</b></div><div></div><ul><li><b><br>
Education:</b></li><li><ul><li>
Bachelor&rsquo;s degree in Information Technology, Computer Science, Business Administration, or a related field.</li></ul></li><li><b>
Experience:</b></li><li><ul><li>
10+ years of experience in IT project management, business analysis, software implementation, or a related role.</li><li>
Experience within the healthcare/healthcare technology industry preferred, not required</li></ul></li><li><b>
Technical Skills:</b></li><li><ul><li>
Proficiency in project management software (e.g., Confluence, Jira, Azure DevOps, etc.)</li><li>
Experience creating application UI mockups/designs preferred</li><li>
Understanding of software development life cycle (SDLC) in an Agile methodology</li></ul></li><li><b>
Soft Skills:</b></li><li><ul><li>
Excellent communication, leadership, and problem-solving skills.</li><li>
Ability to work under pressure and manage multiple projects simultaneously.</li></ul></li></ul><div></div><p><b><br>
Perks &amp; Benefits:</b></p><ul><li>
Multiple medical plan options</li><li>
Health Savings Account with company contributions</li><li>
Dental &amp; vision coverage for you and your dependents</li><li>
401k with Company match</li><li>
Vacation, sick time &amp; Company paid holidays</li><li>
Company wellbeing program with health insurance incentives</li></ul><p></p><div><b><br>
What&rsquo;s Next?</b></div><div></div><div><br>
If you&rsquo;re ready to bring your skills and passion to our growing team, <b>we want to hear from you!</b> Apply today and help us create a future where success is the standard.</div></div><p></p>

Business Analyst

<div>Overview:
<div><b>
HaloMD</b></div><div><b>
Who We Are:</b></div><div>
HaloMD is a fast-growing arbitration and medical billing company on a mission to streamline processes, resolve disputes, and deliver exceptional service. Our success comes from our people, and we&rsquo;re searching for a dynamic leader to help take us to the next level.</div><p></p><p><b><br>
Job Summary</b></p><p>
The Supervisor of Arbitration will supervise and coordinate the staff&rsquo;s daily operations. This role will have the overall responsibility for mentoring and developing skills of direct reports. The Supervisor will participate in evaluation and implementing quality control and performance improvement activities.</p>
Responsibilities:
<div><b>
E</b><b>ssential Job Duties and Responsibilities:</b></div><ul><li>
Lead, motivate, coach, and train a team to achieve business objectives.</li><li>
Monitor and analyze performance metrics to identify areas for improvement.</li><li>
Foster a positive and collaborative work environment.</li><li>
Ensure compliance with company policies and industry regulations.</li><li>
Allocate resources effectively.</li><li>
Provide mentorship and professional development opportunities for team members.</li><li>
Collaborate with senior leadership to align departmental goals with company objectives</li><li>
Plan schedules, assign tasks, and monitor performance to ensure efficiency.</li><li>
Analyze claim reports, submit cases on time, and oversee informal negotiations.</li><li>
Analyze performance metrics, recommend process enhancements, and champion change.</li><li>
Work with external vendors, state agencies, and leadership to resolve issues.</li><li>
Handle escalated concerns, monitor urgent requests, and respond promptly&mdash;even after hours if needed.</li><li>
Analyze workflow reports to determine cases eligible for IDR Process</li><li>
Determine the completion timeline and monitor progress to keep the project on track and on schedule</li><li>
Manage the flow of day-to-day operation</li><li>
Complete special projects and other duties as assigned</li><li>
Potentially work with external vendors to assist with issues and resolutions</li></ul>
Qualifications:
<div><b>
Experience Required:</b></div><ul><li>
3+ years in medical billing and collections, and 1+ year supervising a team of 5 or more.</li><li>
Knowledge of CPT, ICD-10, HIPAA, and insurance industry standards.</li><li>
Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters&mdash;you&rsquo;re a pro!).</li><li>
Clear, professional, and confident in writing and speaking.</li><li>
Strong analytical and problem-solving skills with keen attention to detail.</li><li>
Availability for urgent matters on weekends if needed.</li></ul><h3 class="jobSectionHeader"><b>
Perks &amp; Benefits:</b></h3><ul><li>
Fully Remote &ndash; Work from anywhere within the United States with reliable high-speed internet</li><li>
Multiple medical plan options
</li><li>Health Savings Account with company contributions</li><li>
Dental &amp; vision coverage for you and your dependents</li><li>
401k with Company match</li><li>
Vacation, sick time &amp; Company paid holidays</li><li>
Company wellbeing program with health insurance incentives</li></ul><h3 class="jobSectionHeader"><b>
What&rsquo;s Next?</b></h3><div>
If you&rsquo;re ready to bring your skills, passion, and leadership to our growing team, <b>we want to hear from you!</b> Apply today and help us create a future where success is the standard.</div><div></div><div><br>
#IND123</div></div>

Arbitration Supervisor - Shared Services Open Negotiations

Join MPOWERHealth and explore 3   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.

MPOWERHealth

ABOUT_COMPANY

Quality Assurance Arbitration Specialist II - Shared Services

Business Analyst

Arbitration Supervisor - Shared Services Open Negotiations