UNKNOWN

FEED

Builds and maintains effective working relationships with internal departments, healthcare providers, patients, payers, and business partners to promote effective communication and operational success. Oversees the Patient Service Center (PSC) administration functions, communicating operational disruptions, including power outages, severe weather events, or other circumstances impacting PSC operations, to appropriate.

YEAR

BREG, Inc.

Patient Access Lead

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EXPERIENCE: Five (5) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Eight (8) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification. Develops, analyzes, and presents dashboards and reports highlighting denial trends, charge lag, missed charges, net revenue performance, and other key revenue metrics.

Integris Health Inc

Revenue Integrity Analyst II

FULL_TIME

OTHER

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

TriWest Healthcare Alliance

Program Integrity Investigator

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For medication reviews, evaluate prior authorization requests using applicable benefit, formulary, step-therapy, quantity-limit, and clinical criteria; obtain medication history and supporting documentation; and refer exceptions or complex requests for Medical Director review as appropriate. For inpatient reviews, evaluate admission information and continued-stay documentation, monitor authorized days and level of care, request additional clinical information when needed, and escalate cases involving extended stays, discharge barriers, or other clinical concerns.

Alliance Coal LLC

Utilization Review Nurse

REQUIRE: MARKETING PERSON FOR KOLKATA REGION 
FOR- RESINS & MEDIAS FOR WATER / EFFLUENT TREATMENT E.T.C- 
OF A RENOWED BRAND
 
 CONTACT - <a target="_blank" rel="noopener noreferrer">aballiance1961@gmail.com</a>

Alliance Resource Partners LP

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.

Revenue Integrity Analyst I - Regional Based (IHMG)

Revenue Integrity Analyst I - OKC Metro Based (IHMG)

Integris Health

Revenue Integrity Analyst II - CPV Team

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 Heart Hospital

Hospital Revenue Integrity Specialist

Understand and work with key health care stakeholders within the following customers: Commercial Managed Care (Regional Plans), Medicare Advantage (MedAdv), Medicaid (Fee for Service) as needed, State Ophthalmic Medical Groups, State Advocacy, patient, provider, and other key healthcare stakeholder groups. The Regional Account Manage-Market Access (RAM) will execute the payor strategy within an assigned region to secure and maintain favorable coverage, coding, and reimbursement across commercial plans, Medicare Advantage (MedAdv), and Medicaid in assigned states.

HOUR

Bausch & Lomb Inc

Regional Accounts Manager - Southwest Heartland

4 years of experience in healthcare insurance billing, denial management, insurance resolution/follow-up, cash posting, patient financial services, healthcare billing customer service, or any combination of thereof. 2 years of medical billing experience may be considered for candidates with bachelor's degree in healthcare or related field, or 3 years of experience with the completion of certification in a healthcare program such as medical coding.

Patient Financial Advisor - Self Pay

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

Supervisor, Utilization Management

Monitors and improves key revenue cycle KPIs using data-driven scorecards and dashboards to include cost-to-collect, clean-claim rate, denial rate, underpayment recovery, POS collections, bad debt and charity - using data-driven scorecards and dashboards. Required: 10+ years of revenue cycle experience in a healthcare setting, including 5+ years at a director or higher level of leadership with oversight of multiple end-to-end functions across healthcare organizations with multiple service lines.

Norman Regional Health System

Administrative Director of Revenue Cycle

Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world - providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands.

Harrow Inc

Field Reimbursement Manager-South Central

Three years of progressively responsible experience in health information management, medical records administration, healthcare coding operations, healthcare privacy compliance, or a closely related healthcare field. · Collaborate with organizational leadership, Human Resources, Finance, and other departments on personnel matters, budget planning, purchasing, and operational improvements.

State of OK JD McCarty Center

Health Information Manager

License/Certifications: CCS-Certified Coding Specialist, RHIT- Registered Health Information Technician, RHIA- Registered Health Information Administrator, CPC- Certified Professional Coder. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification.

Oklahoma State University Medical Center

Coder

Broadbean

As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. The Revenue Integrity/Accounts Receivable Representative is responsible for supporting the financial performance of the physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement.

New Ultimate Billing, LLC

Revenue Integrity A/R Representative

Work with Revenue Cycle leadership to ensure understanding of Payer contracts, application of contract terms and ensure alignment with processes and the bearing on Cash Posting functions and how these components could play into Client Billing Inquires. POSITION SPECIFIC DUTIES & RESPONSIBILITIES: Leadership and Strategy: Develop and execute a comprehensive Revenue Cycle strategy that supports the agency's expansion and long-term scalability, in partnership with the VP of Revenue Cycle.

Family & Children's Service

Director Of Revenue Cycle Management

As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. The Revenue Integrity/Accounts Receivable Representative is responsible for supporting the financial performance of the physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement.

Harris Computer Systems

Expected to stay informed of the latest developments, advancements and trends in the field of medical collections, appeals and denials by utilizing available resources such as on-line information, reading information provided by payors and attending seminars/workshops as approved by management. Responsibilities include, but are not limited to, claim denials, underpayments, coding denials, filing of appeals, zero payments and other claim issues that result in incorrect reimbursement towards outstanding claims.

Strength in Numbers 

United Surgical Partners International (USPI) and Tenet have combined forces to create the nation’s largest ambulatory surgery provider. Our combined network of exceptional surgical and imaging facilities includes approximately 20 imaging centers, and over 265 short-stay surgical facilities. Together, our partnerships include 50 health systems and more than 4,000 physicians. Nationwide Experience 

Our partners deliver high quality ambulatory solutions in safe, efficient and caring USPI facilities in communities of every size across 29 states. Our physician partners are focused on providing quality patient care, in part because they are invested in their USPI facility. We provide the infrastructure and support they need to perform their best. This is one of the advantages of partnering with USPI. Quality Patient Services 

We share a vision with our physician and health system partners. Our goal is to provide the quality of healthcare services we would insist upon for our own families. Since our founding in 1998, this goal has helped us grow exponentially. Today, our strategic joint venture with Tenet establishes USPI as one of the nation's leading providers of ambulatory solutions. Operating Excellence 

Our size and experience in developing and operating ambulatory facilities and strategic vision allow our facilities to achieve both high patient satisfaction and solid financial results. Moreover, because we engage physicians in the governance and growth of the facility, we also achieve excellent clinical outcomes.

Medical Billing And Coding Jobs in Oklahoma

Patient Access Lead BREG, Inc.

Revenue Integrity Analyst II Integris Health Inc

Program Integrity Investigator TriWest Healthcare Alliance

Utilization Review Nurse Alliance Coal LLC

Utilization Review Nurse Alliance Resource Partners LP

Revenue Integrity Analyst I - Regional Based (IHMG) Integris Health Inc

Revenue Integrity Analyst I - OKC Metro Based (IHMG) Integris Health Inc

Revenue Integrity Analyst II - CPV Team Integris Health

Hospital Revenue Integrity Specialist Oklahoma Heart Hospital

Regional Accounts Manager - Southwest Heartland Bausch & Lomb Inc

Patient Financial Advisor - Self Pay Integris Health

Supervisor, Utilization Management TriWest Healthcare Alliance

Administrative Director of Revenue Cycle Norman Regional Health System

Field Reimbursement Manager-South Central Harrow Inc

Health Information Manager State of OK JD McCarty Center

Coder Oklahoma State University Medical Center

Revenue Integrity A/R Representative New Ultimate Billing, LLC

Director Of Revenue Cycle Management Family & Children's Service

Revenue Integrity A/R Representative Harris Computer Systems

Facility Appeals Denial Management Specialist United Surgical Partners International Inc

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