INTEGRIS Health
INTEGRIS Health
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।

Senior Physician Billing Specialist

Resolve complex physician billing claims, denials, and appeals at INTEGRIS Health. Manage payer relationships, reimbursement data, compliance, and process improvements.

विवरण

  • Handle complex transactions, payment files, claims, insurance collections, and physician charge entry
  • Review and resolve denied, underpaid, and overpaid claims, including appeals
  • Manage relationships with third-party payers and respond to inquiries, complaints, correspondence, denials, appeals, payment matters, and audits
  • Audit, document, track, and resolve appeals with third-party and government payers
  • Check payer files for accuracy and update related documentation
  • Research claims, files, best practices, and policy changes
  • Coordinate with internal departments and external organizations to resolve complex accounts
  • Track payer issues, underpayments, banking errors, and payment trends, and recommend improvements
  • Prepare and maintain reports, contribute to their development, and submit them
  • Make complex decisions independently within the role’s scope
  • Contribute to service, process, and quality improvement work
  • Advise management on revenue opportunities and payer standards
  • Stay current on regulations, compliance requirements, and INTEGRIS Health policies
  • Identify improvement opportunities and help test system changes with IT and department managers
  • Take part in professional development
  • Report to the department manager or supervisor

आवश्यकताएँ

  • At least four years of experience in healthcare billing, collections, payment processing, or denials management
  • Experience in at least three healthcare areas, such as billing and collections, denials, or registration
  • Healthcare certification such as CRCR, CRCS, or CHAA preferred
  • Bachelor’s degree preferred
  • 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 procedures
  • Experience using Microsoft Office and billing and claims management software
  • Experience with hospital and physician billing and reimbursement; Medicare, Medicaid, and commercial payer denials and appeals; third-party contracts; NCQA guidelines; federal and state regulations; and Fair Debt Collection Practices
  • Effective verbal and written communication in English
  • Ability to follow standard precautions
  • Ability to comply with fraud and abuse, confidentiality, HIPAA, accreditation, and other compliance requirements

लाभ

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

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