Consultant
Consultant
In this entry level, client-facing consulting role you will:
- Work with insurance companies to recover additional payments for our hospital clients, including follow-up calls and written appeals;
- Deliver premium client service through effective verbal and written communication in order to identify client (hospital) needs, perform reviews, provide recommendations, and communicate project results;
- Closely examine contract language and translate into data modeling to facilitate proper pricing using Cloudmed software platforms;
- Support algorithm research, development, and maintenance for the purpose of processing hospital data to identify underpayments;
- Interact effectively with Cloudmed internal teams to assist data reviews or claim resolution, clarify project or client-specific processes;
- Continue to innovate Cloudmed’s review process through research, data analytics, and trending;
- Research and proactively apply new hospital regulations and legislations;
- Work effectively on a dynamic team; Organize, automate, and record team processes for training and documentation keeping;
- Participate in Cloudmed’s training programs, periodic teambuilding events, and volunteer activities;
- Comply with HIPAA privacy standards at all times and display a high level of professionalism when handling patient medical records
Who we’re looking for:
- BS/BA – Economics/Business/Science preferred, all Majors are encouraged to apply;
- Minimum GPA 3.0;
- Strong analytical and quantitative skills;
- Self-starter who is eager to learn, and can work both independently and in a team environment;
- Detail-oriented, with demonstrated organizational skills and the ability to manage time effectively, prioritize tasks;
- Demonstrated interpersonal skills to work effectively in a team environment with internal and external stakeholders;
- Team-oriented with strong organizational, interpersonal, and communication skills;
- Professional and respectful representatives of Cloudmed and our clients;
- Ability to build trust and confidence with clients through effective interaction, training, and collaboration;
- Please note Cloudmed does not sponsor work visas, and employment is subject to eligibility verification and a background check in accordance with SF Fair Ordinance. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrests and conviction records.
Being You @ Cloudmed
Cloudmed recruits, employs, trains, compensates, and promotes regardless of race, religion, color, national origin, sex, disability, age, veteran status, and other protected statuses. At Cloudmed, we have a clear vision: to be a place where a diverse mix of talented people feel supported and empowered to reach their full potential. We pride ourselves on delivering premium results and client service to all our hospital clients. Cloudmed runs on the hard work and dedication of our passionate and diverse employees.
Below are a few programs we offer in support of our employees and their passions:
- Employee Resource Groups (ERG): Cultural Connection, LGBTQA+, Mental Health & Wellness, Women of TCG, TCG Moms
- Social Responsibility: Employee Donation Matching Program, Paid Volunteer Time Off
- Mentor Program: Employees are paired with a mentor at Cloudmed for personal and professional growth