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INTEGRIS Health
INTEGRIS Health
H1B वीज़ा प्रायोजकऔषधियाँस्वास्थ्य बीमास्वास्थ्य सेवा
INTEGRIS Health ओक्लाहोमा के स्वामित्व वाली स्वास्थ्य सेवा प्रणाली है, जो पूरे राज्य के समुदायों को अस्पतालों, पुनर्वास केंद्रों, चिकित्सक क्लीनिकों, मानसिक स्वास्थ्य सुविधाओं, तत्काल देखभाल केंद्रों, घरेलू स्वास्थ्य एजेंसियों, फिटनेस केंद्रों और स्वतंत्र जीवन-यापन समुदायों के माध्यम से सेवाएँ प्रदान करती है। इसका कार्य स्वास्थ्य सेवा पेशेवरों के व्यापक नेटवर्क को एक साथ लाता है, जो करुणामय और गुणवत्तापूर्ण देखभाल के माध्यम से ओक्लाहोमा के परिवारों को अधिक स्वस्थ जीवन जीने में सहायता करने पर केंद्रित हैं। संगठन स्वास्थ्य सेवा के विभिन्न क्षेत्रों और सहायक कार्यों में करियर के अवसर भी प्रदान करता है।
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कंपनी की नौकरियाँ

Senior Patient Accounting Specialist, Physician Billing

Resolve physician billing denials, appeals, and reimbursement issues as a senior patient accounting specialist at INTEGRIS Health, Oklahoma’s largest not-for-profit health system.

USसंयुक्त राज्यOKओक्लाहोमाहाइब्रिडपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा प्रबंधक

विवरण

  • Handle complex billing transactions, including transplant cases, payer audits, withholds, and data from multiple sources.
  • Investigate denied, underpaid, and overpaid claims, and manage appeals.
  • Maintain relationships with third-party payers and address inquiries, complaints, and correspondence about denials, appeals, payments, and audits.
  • Process payment files and claims, collect insurance, and enter physician charges as needed.
  • Manage audit and denial appeals from intake and assessment through documentation, tracking, response, and resolution.
  • Check payer files for accuracy and keep documentation current.
  • Research claims, records, best practices, and policy changes.
  • Communicate accurately with internal teams and external parties.
  • Partner with internal departments and external organizations to resolve complex accounts.
  • Track payer issues, underpayments, banking errors, and payment trends.
  • Prepare, maintain, support, and submit reports.
  • Make complex decisions independently within the position’s scope.
  • Contribute to service, process, and quality improvement efforts.
  • Advise management on revenue opportunities and payer standards.
  • Stay current on state and federal regulations, compliance obligations, and INTEGRIS Health policies, including fraud and abuse, confidentiality, and HIPAA.
  • Support system change testing and coordinate implementation with IT staff and department managers.
  • Take part in professional development.
  • Report to the assigned department manager or supervisor.

आवश्यकताएँ

  • At least four years of experience in healthcare billing, collections, payment processing, or denial management; denial management experience is preferred.
  • Experience in at least three healthcare areas is preferred, such as billing, collections, denials, or registration.
  • Healthcare certification such as CRCR, CRCS, or CHAA is preferred.
  • A bachelor’s degree is preferred.
  • Prior experience with DRG, ICD-10, CPT-4, and UB-04/CMS-1500 claim billing.
  • Knowledge of legal and contract documents, collection agency procedures, and legal processes.
  • Experience with Microsoft Office and billing or claims management software.
  • Experience with hospital and physician billing and reimbursement; Medicare, Medicaid, and commercial payer denials and appeals; third-party contracts; NCQA denial and appeal guidelines; federal and state denial and appeal regulations; and Fair Debt Collection Practices.
  • Effective spoken and written English communication skills.
  • Ability to follow standard precautions.

लाभ

  • Front-loaded paid time off.
  • Medical coverage through the INTEGRIS Health network.
  • Financial assistance for continuing education.
  • 24/7 mental health support.
  • Career development opportunities.

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