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INTEGRIS Health
INTEGRIS Health
Sponzor vizuma H1BFarmacevtski izdelkiZdravstveno varstvoZdravstveno zavarovanje
INTEGRIS Health je zdravstveni sistem v lasti zvezne države Oklahoma, ki oskrbuje skupnosti po vsej državi prek bolnišnic, rehabilitacijskih centrov, zdravniških ambulant, ustanov za duševno zdravje, centrov za urgentno oskrbo, agencij za zdravstveno nego na domu, fitnes centrov in skupnosti za samostojno življenje. Njegovo delo povezuje široko mrežo zdravstvenih delavcev, osredotočenih na pomoč družinam v Oklahomi pri bolj zdravem življenju s sočutno in kakovostno oskrbo. Organizacija ponuja tudi karierne priložnosti na številnih področjih zdravstvene dejavnosti in podpornih funkcijah.
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Delovna mesta v podjetju

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.

USZdružene države AmerikeOKOklahomaHibridnoPolni delovni časSeniorZahtevani Jezik: angleščinaVodja računovodstva

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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.

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