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.
Utilize EMR and clearinghouse to manage claim edits to preserve revenue and ensure all charges are added correctly based on clinical documentation. Responsibilities: The Hospital Revenue Integrity Specialist is responsible for evaluating charges for hospital claims against clinical documentation to identify missing, incorrect, or late charges.
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.
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Legal Operations Specialist III (Oklahoma City, OK, US, 73120) Love's Travel Stops & Country Stores Inc
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.
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Medical Support Assistant (All Specialties) US Department of Health and Human Services
Clarification from the agencyThe IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interiors definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7 Chapter 3.VideosDutiesHelpPurchasedReferred Care PRC Assists with processing referrals for medical services provided outside the facility receives logs and tracks referral requests reviews referral forms for completeness enters and updates referral and patient data in Resource Patient Management System RPMS Electronic Health Record EHR or other systems communicates with clinical staff patients and external providers to obtain or relay routine information maintains files and logs to track referral status. Relocation expenses reimbursedNo Appointment typeMultipleWork scheduleMultiple SchedulesServiceCompetitivePromotion potential6 Job family Series 0679 Medical Support Assistance Supervisory statusNoSecurity clearanceOtherDrug testNoPosition sensitivity and riskModerate Risk MRTrust determination processSuitabilityFitnessFinancial disclosureNoBargaining unit statusYesAnnouncement numberIHS-26-HQ-12935286-ESEPMPControl number867662100This job is open toHelpFederal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Managements hiring rules and pay scales.
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Patient Services Representative RYAN HEALTH CENTER
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.
New!
Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma CVS Health Corp
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.
Insurance Specialist Full Time United Surgical Partners International
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.
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Sonographer - Weekend Program Advocate Health and Hospitals Corporation
EXPERIENCE: Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave.
