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South Texas Radiology Group, P.A.

Job Title: Data Engineer Reports To: Chief Financial Officer Location: San Antonio, Texas (on site) FLSA Status: Exempt Summary of Position: The Data Engineer is responsible for collecting, managing, and converting data into accessible information for business teams and analysts. Creates and maintains data pipelines that transfer data from various sources to a central data warehouse, and supports business functions that require analyzing this data. Performs data integrity review in conjunction with end users. Job Responsibilities: Employee must adhere to STRG Policies and Procedures at all times Gathers information for moderately complex processes, analyzes data and trends, and identifies root causes. Create and maintain the infrastructure for a centralized data store in the form of a data warehouse, including selecting the best platform(s) for each component of the data warehouse; import data from various agency EHRs and web-based sources using ELT/ETL best practices. Work with internal managers and external partners to set up data pipelines to the data warehouse for reporting and other business functions; ensure data integrity of records for data sources including integrated information systems. Works with the President related to reporting needs for physician productivity and other measurables. Works with the Vice President, as needed, related to physician scheduling &amp; reporting needs. Provide support for creation of enterprise reports using warehouse data, including the creation of a data dictionary. Maintain a data normalization strategy for new data coming into the data warehouse; create &amp; maintain a semantic layer for developing report KPIs and business metrics. Assists with data mining and analytical capability to support decision making and corporate strategy set by the executive team, including developing and maintaining a data management strategy that covers data acquisition and archive recovery. Provide support for business teams interacting with the data warehouse and/or data sources. Maintain best practices for continuous integration and continuous delivery (CI/CD) of accurate and accessible business data, and providing transparency of development processes using Agile project management principles. Review &amp; audit reports, data sources and data streams for accuracy and completeness. Manage and deploy BI tools for use by various company teams. Support departmental initiatives as requested. Assist with alerting and educating staff on EHR changes. Assist with system administrative set-up as requested. Maintain strict confidentiality of patient protected health information as mandated by STRG procedures and HIPAA Privacy, Security, HITECH, and Transactions and Code Sets regulations Perform other duties as required Supervisory Responsibilities: None Experience / Skill Requirements: Strong attention to detail and ability to multitask multiple priorities Advanced knowledge and experience in Excel required Knowledge of analytical and BI tools (ie MS Excel, Tableau, PowerBI) Strong programming skills (Python, SQL, shell/bash) and expertise in database technologies, ELT/ETL processes, REST APIs, data warehousing, and workflow management tools Experience querying and maintaining relational databases (SQL Server, Postgres) and version controlling (Github) Knowledge of containerization technologies, cloud development platforms such as GCP, and cloud-native applications Cursory understanding of healthcare terminology, including CPT, RVU and charge terminology. Knowledge of revenue cycle systems and mapping logic within billing tables 4 years of experience in end-to-end analysis and/or operations experience, including: requirement gathering and documentation, operational planning and forecasting, data analytics or current/future state analysis, in direct support of business planning initiatives. Education: Bachelor&rsquo;s degree in Computer Science, Data Analytics, Management Information Systems or Business Administration; supplemented with one or more courses in current technology. Experience in lieu of formal education may be substituted. Attendance / Work Schedule: Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include &quot;light duty&quot; work or allow unpredictable or unrestricted absences.

Data Engineer

Job Title: Correspondence and Insurance Claims Clerk Department: Accounts Receivable Location: San Antonio, Texas Reports To: Supervisor, Accounts Receivable FLSA Status: Non-exempt Summary of Position: The Correspondence and Insurance Claims Clerk is responsible for efficient, timely, processing of Requests for Information (RFI), etc. and ensuring that all activity dealing with correspondence has been documented. As well as a final review and mailing of paper insurance claims on a timely basis as outlined in procedures for the processing of primary, secondary, Workers&rsquo; comp and rebilled claims. The CICC will provide clerical support to the Credit Balance Department and will be the back up to the Front Desk Position. Job Responsibilities: Employee must adhere to STRG Policies and Procedures at all times Prepare and mail out paper claims to appropriate payers Post all assigned correspondence into the practice management system accurately and in a timely manner Input denial codes on accounts, taking adjustments when appropriate. Enter notes on patient accounts. Transfer to supervisor if necessary Process RFIs by mailing, faxing, etc. as indicated on the request each day. Report to supervisor any requests received that do no allow enough time to respond by deadline on letter Handle Waystar appeals by reviewing claims, preparing necessary documents and submitting appeals for Coordination of Benefits Pull Remittance Advices (RAs) and reconcile them with the practice management system, ensuring all payments and denials are correctly posted Reconcile received checks with the practice management system, to ensure payment accuracy Separate the claims by primary, secondary and Worker&rsquo;s Comp Communicate with team members and supervisors to resolve any discrepancies related to paper claims, correspondence and reconciliations Notify supervisor of consistent discrepancies Maintain compliance with all regulatory requirements for claim processing, correspondence handling, and appeals Prepare and maintain daily, weekly, and monthly reports on correspondence, claims processed, and reconciliations completed Work assigned work queus related to missing correspondence Convert virtual credit card payments into paper checks for accurate posting and reconciliation Maintain strict confidentiality of patient protected health information as mandated by STRG procedures and HIPAA Privacy, Security and HITECH regulation Perform other duties as required Supervisory Responsibilities: None Experience / Skill Requirements: Formal training which will probably be indicated by a high school diploma or equivalent; one year medical insurance experience; familiarity with CMS 1500 form. Ability to operate a computer; operate standard office machines such as a copier and fax; 10 key by touch at a standard rate of 140 keystrokes per minute. Education: High School Diploma or GED Attendance / Work Schedule: Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include &quot;light duty&quot; work or allow unpredictable or unrestricted absences.

Correspondence & Insurance Claims Clerk

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South Texas Radiology Group, P.A.

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Data Engineer

Correspondence & Insurance Claims Clerk