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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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Darbai įmonėje

Senior Patient Accounting Specialist, Physician Billing

Resolve complex physician billing claims, payer denials, and appeals at INTEGRIS Health, Oklahoma’s largest nonprofit health system. The role manages reimbursements and payer relationships.

USJungtinės ValstijosOKOklahomaHibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųApskaitos vadovas

Aprašymas

  • Handle complex transactions, including transplant cases, payer audits and withholds, and data from multiple sources.
  • Investigate denied, underpaid, and overpaid claims, and manage appeals.
  • Maintain third-party payer relationships and address questions, complaints, and correspondence about denials, appeals, payments, and audits.
  • Import payment files, process claims, collect insurance, and enter physician charges as needed.
  • Manage audits and denial appeals from intake and assessment through documentation, tracking, response, and resolution with commercial and government payers.
  • Check payer files for accuracy and keep related documentation current.
  • Research claims, records, best practices, and policy changes.
  • Handle internal and external correspondence in line with organizational rules.
  • Coordinate with internal departments and external organizations to resolve complex accounts.
  • Track data on payer issues, underpayments, banking errors, and payment patterns.
  • Prepare and maintain reports, assist with their preparation, and submit them.
  • Make complex decisions independently within the role’s scope.
  • Take part in service, process, and quality improvement work, and share feedback with management.
  • Stay informed about state and federal regulations, accreditation and compliance requirements, fraud and abuse, confidentiality, HIPAA, and INTEGRIS Health policies.
  • Help test system changes and work with IT staff and department managers on implementation.
  • Take part in professional development.
  • Report to the assigned 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 familiarity across at least three healthcare areas is expected; billing, collections, denials, and registration are preferred areas.
  • Healthcare certifications such as CRCR, CRCS, or CHAA are 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.
  • Prior experience with Microsoft Office and billing or claims management software.
  • Prior experience with hospital and physician billing and reimbursement; Medicare, Medicaid, and commercial payer denials and appeals; third-party contracts; NCQA denial and appeal guidelines; relevant federal and state regulations; and Fair Debt Collection Practices.
  • Ability to communicate effectively in spoken and written English.
  • Must follow standard precautions.
  • The role may involve exposure to infections and communicable diseases, blood and body fluids, electrical equipment, and chemicals.

Privalumai

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

Susiję darbai

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1 001 – 5 000 Darbuotojai
H1B vizos rėmėjasKonsultavimasRinkodaraSveikatos priežiūra
USJungtinės ValstijosILIlinojusMAMasačusetsasNJNaujasis Džersis
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HibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųMeno vadovas

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51 – 200 Darbuotojai
MadaMažmeninė prekyba
GBJungtinė Karalystė
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HibridinisSutartisVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųKlientų aptarnavimas
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GBJungtinė KaralystėHibridinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųKlientų aptarnavimas
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Client Services Representative — Group O

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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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A

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Advantage TeleMessaging, Inc.
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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