114 Results for

Billing Jobs in Midwest City, OK

40

Schedule Details/Additional Information:.

13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials

Status:.

Mercy logo

Oklahoma City, OK

p>Customer service ability, strong face to face communication skills, background working with customers or patients on document completion and applications, knowledge of medical expenses and associated bills, knowledge of patient insurance, ability to multitask, ability to learn complex state requirements for programs and explain to patients, bias for action, patient/consumer-focused, entrepreneurial and commitment to excellence and service.

Minimum years and type of experience: 1-2 years of experience in the healthcare industry, social work, or case management environment, interacting with patients regarding financial concerns, working with self-pay, underinsured, or a compromised population in a face-to-face customer service capacity proactively explaining complicated programs.

Oklahoma City, OK

By collaborating with internal and external stakeholders, the Senior Medical Audit Specialist helps to promote accountability and transparency in billing practices, supporting the overall mission of the Oklahoma Health Care Authority to provide better health and care for Oklahomans.

The best-fitting Korn Ferry competencies for this position include Ensures Accountability, as the role focuses on enforcing compliance and managing responsibilities, and Collaborates, given the need for cross-functional teamwork and stakeholder engagement.

Oklahoma City, OK

The Behavioral Health Medical Audit Specialist ensures compliance with OHCA policies, state statutes, and federal regulations by providing clinical expertise in conducting comprehensive audits and investigations to identify and address fraud, waste, and abuse within behavioral health services. Preference Qualifications Include: Certifications in any of the following areas: Certified Fraud Examiner (CFE), Certified Professional Medical Auditor (CPMA), Certification in Healthcare Compliance (CHC), or Project Management Professional (PMP) or Lean Six Sigma Certification.

Oklahoma City, OK

ul style="margin-top:0in;margin-bottom:0in">

  • Bachelor's degree in business, finance, information systems, paralegal studies, or a related field plus 3+ years of professional experience in legal operations, legal billing, legal technology, or a related field; or associate's degree in a related field plus 5+ years of professional experience in legal operations, legal billing, legal technology, or a related field; or in lieu of a degree, 7+ years of professional experience in legal operations, legal billing, legal technology, or a related field.

    The Legal Operations Specialist III is a fully qualified, career-level contributor responsible for independently managing and advancing core legal operations functions across matter management, outside counsel billing, reporting, workflow administration, and legal technology.

  • Oklahoma City, OK

    li>Utilize EMR and clearinghouse to manage claim edits to preserve revenue and ensure all charges are added correctly based on clinical documentation.

    The Hospital Revenue Integrity Specialist is responsible for evaluating charges for hospital claims against clinical documentation to identify missing, incorrect, or late charges.

    Oklahoma City, OK

    Provides day-to-day analytic support for assigned service lines, escalating complex revenue integrity issues to senior analysts or managers. The Revenue Integrity Analyst I supports revenue integrity operations by analyzing billing edits, identifying charge capture issues, and assisting with payer compliance activities.

    Oklahoma City, OK

    Ensure appointments for Urgent/STAT/High-Risk referrals are scheduled in accordance with the timeframe specified in the Network's referral processing and tracking policy and procedure. Referral Processing: Ensure the appropriate Specialty Referral Form, if required, has been initiated and that all required information is provided; including the number of visits and expiration date of the referral.

    CVS Health Corp logo

    OK
    • $43,888–$76,500 / year

    p>The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation.

  • Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.

  • United Surgical Partners International Inc logo

    Oklahoma City, OK

    Ensures that all notifications to payers are completed, authorizations obtained, verifies coverage and benefits, reviews and corrects each pre-registration for accuracy of financial information, and appropriately documents information in the system account notes.

  • Consistently demonstrate premier customer service and communication skills with all internal and external customers/contacts and ensure the patient and their family members have the best hospital encounter possible.

  • 36

    Schedule Details/Additional Information:.

    36320 Aurora St. Lukes Medical Center - Ultrasound

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