INTEGRIS Health
INTEGRIS Health
INTEGRIS Health — Оклахомаға тиесілі денсаулық сақтау жүйесі. Ол ауруханалар, оңалту орталықтары, дәрігерлік клиникалар, психикалық денсаулық сақтау мекемелері, жедел көмек көрсету орындары, үйде медициналық қызмет көрсету агенттіктері, фитнес орталықтары және тәуелсіз өмір сүру қауымдастықтары арқылы штаттағы қауымдастықтарға қызмет көрсетеді. Оның жұмысы Оклахома отбасыларына жанашыр әрі сапалы медициналық көмек арқылы дені сау өмір сүруге көмектесуге бағытталған денсаулық сақтау мамандарының кең желісін біріктіреді. Ұйым денсаулық сақтау саласының көптеген бағыттары мен қолдау қызметтері бойынша мансап мүмкіндіктерін де ұсынады.

Senior Patient Accounting Specialist, Physician Billing

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

Сипаттама

  • Process complex transactions, payment files, claims, insurance collections, and physician charge entries.
  • Investigate denied, underpaid, and overpaid claims and pursue appeals.
  • Manage relationships with third-party payers and respond to questions, complaints, and correspondence.
  • Conduct audits and denial appeals with commercial and government payers.
  • Check payer files for accuracy and keep supporting documentation current.
  • Research claims, effective practices, and policy changes.
  • Coordinate with internal teams and external organizations to resolve complex accounts.
  • Track payer issues, underpayments, banking errors, and payment trends.
  • Prepare, maintain, and submit reports.
  • Make complex decisions independently within the role’s scope.
  • Contribute to service, process, and quality improvement efforts.
  • Advise management on revenue opportunities and payer standards.
  • Stay current on regulations, compliance requirements, HIPAA, and INTEGRIS Health policies.
  • Help test system changes and coordinate with IT staff and department managers.
  • Take part in professional development.
  • Report to the department manager or supervisor.

Талаптар

  • At least four years of experience in healthcare billing, collections, payment processing, or denials management; denials management experience is preferred.
  • Experience or understanding across three or more healthcare areas is preferred, such as billing, collections, denials, and 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 appeals guidelines; federal and state denial and appeals regulations; and Fair Debt Collection Practices.
  • Effective spoken and written English communication skills.
  • Ability to follow standard precautions.
  • Potential exposure to infections and communicable diseases, blood and body fluids, electrical equipment, and chemicals.

Артықшылықтар

  • Front-loaded paid time off.
  • Medical coverage through the INTEGRIS Health network.
  • Financial assistance for continuing education.
  • Mental health support available around the clock.
  • Career growth and development opportunities.

Ұқсас жұмыс орындары

DATAGROUP

ETL Developer (Python and PostgreSQL)

DATAGROUP
1 001 – 5 000 Қызметкерлер
SaaSКонсалтингМаркетинг

Modernize ETL pipelines by migrating IBM DataStage and Oracle workloads to Python and PostgreSQL. Join DATAGROUP Polska to support legacy system upgrades and cloud and open source platform migration.

Ашу
The Ohio State University, Main Campus

Reporting and Analytics Analyst, Cancer Research

The Ohio State University, Main Campus
1 – 10 Қызметкерлер
Білім беру

Support Ohio State cancer research through Tableau dashboards, financial reporting, budgeting, and operational data analysis. Deliver reports and insights that inform program performance and strategic decisions.

Ашу
Huron

Senior Lead Software Engineer, Healthcare Analytics

Huron

Lead development of healthcare analytics products at Huron, a consulting and transformation company. Guide ETL, data pipelines, machine learning, and analytics initiatives.

Ашу
Reliant Healthcare Group

Bilingual Pediatric Home Health Speech-Language Pathology Assistant

Reliant Healthcare Group

Provide play-based speech therapy to children in their homes, supporting communication goals under licensed SLP supervision. Document progress and work with families as part of the therapy team.

Ашу
Guidehouse

Senior Healthcare Claims Analytics Consultant

Guidehouse

At Guidehouse, analyze healthcare payer claims, audits, and data trends to help reduce improper payments and inform payment policy. Develop dashboards and insights across Medicare, Medicaid, VA, and commercial claims.

Ашу
MSD

Process Intelligence Specialist – Hybrid, North Wales, PA | MSD

MSD

Modernize animal health procurement by applying process intelligence, automation, analytics, and AI. Build scalable digital workflows with tools including Celonis, Databricks, Power Platform, RPA, and SQL.

Ашу
Pacific Life

Analytics Engineer

Pacific Life

Build AI, analytics, and Snowflake solutions for Pacific Life’s insurance and annuity businesses. Use Python, SQL, and generative AI to automate workflows and support decisions.

Ашу
Windcave

Performance and Business Intelligence Analyst

Windcave

Build Power BI reports and automated insights for Windcave’s global payments platform. Support performance monitoring, compliance reporting and strategic decisions across Europe.

Ашу
YASH Technologies

Senior ETL Test Engineer

YASH Technologies

Test Databricks data pipelines with SQL at YASH Technologies. The role calls for ETL testing experience and a foundational understanding of Databricks.

Ашу
Ipsos North America

Data Intelligence Analyst – Ipsos, Mexico (Hybrid)

Ipsos North America
5 001 – 10 000 Қызметкерлер
B2BКонсалтингМаркетинг

Join Ipsos as a Data Intelligence Analyst, contributing to research and insights for major companies. This is a full-time hybrid role based in Mexico.

Ашу