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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 Physician Billing Specialist

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

USZdružene države AmerikeOKOklahomaHibridnoPolni delovni časSeniorZahtevani Jezik: angleščinaVodja računovodstva

Opis

  • 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

Zahteve

  • 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

Ugodnosti

  • 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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