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INTEGRIS Health
INTEGRIS Health
H1B vizos rėmėjasFarmacijos produktaiSveikatos draudimasSveikatos priežiūra
INTEGRIS Health yra Oklahomos valstijai priklausanti sveikatos priežiūros sistema, teikianti paslaugas visos valstijos bendruomenėms per ligonines, reabilitacijos centrus, gydytojų klinikas, psichikos sveikatos įstaigas, skubiosios pagalbos punktus, sveikatos priežiūros namuose agentūras, sporto centrus ir savarankiško gyvenimo bendruomenes. Jos veikla apima platų sveikatos priežiūros specialistų tinklą, siekiant padėti Oklahomos šeimoms gyventi sveikiau, teikiant atjaučiančią ir kokybišką priežiūrą. Organizacija taip pat siūlo karjeros galimybių įvairiose sveikatos priežiūros srityse ir pagalbinėse funkcijose.
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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.

USJungtinės ValstijosOKOklahomaHibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųApskaitos vadovas

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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.

Susiję darbai

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USJungtinės ValstijosILIlinojusMAMasačusetsasNJNaujasis Džersis
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HibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųMeno vadovas

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MadaMažmeninė prekyba
GBJungtinė Karalystė
26 436 £ / metai
HibridinisSutartisVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųKlientų aptarnavimas
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GBJungtinė KaralystėHibridinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųKlientų aptarnavimas
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1 001 – 5 000 Darbuotojai
KonsultavimasLogistikaRinkodara
USJungtinės ValstijosILIlinojus
18 $ – 22 $ / valanda
HibridinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųKlientų aptarnavimo atstovasKlientų ryšių paslaugos
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11 – 50 Darbuotojai
KonsultavimasLogistikaSveikatos priežiūra
USJungtinės ValstijosFLFloridaMDMerilandasPAPensilvanijaVAVirdžinijaWVVakarų Virdžinija
15 $ / valanda
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųPrivaloma Kalba: ispanųKlientų aptarnavimas

Handle calls and relay messages for Advantage TeleMessaging’s nationwide answering service. Support English- and Spanish-speaking callers remotely.

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