INTEGRIS Health

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INTEGRIS Health ir Oklahomas štatam piederoša veselības aprūpes sistēma, kas apkalpo kopienas visā štatā, izmantojot slimnīcas, rehabilitācijas centrus, ārstu klīnikas, garīgās veselības aprūpes iestādes, neatliekamās aprūpes punktus, mājas veselības aprūpes aģentūras, fitnesa centrus un patstāvīgas dzīves kopienas. Tās darbība apvieno plašu veselības aprūpes profesionāļu tīklu, kas koncentrējas uz palīdzību Oklahomas ģimenēm dzīvot veselīgāk, nodrošinot līdzjūtīgu un kvalitatīvu aprūpi. Organizācija piedāvā arī karjeras iespējas dažādās veselības aprūpes jomās un atbalsta funkcijās.

Vakances uzņēmumā

Senior Physician Billing Specialist

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

pirms 21 stundas

Amerikas Savienotās Valstis

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Apraksts

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

Prasības

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

Priekšrocības

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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Senior Physician Billing Specialist

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

Apraksts

Prasības

Priekšrocības

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