Patient Service Representative - Full Time - Behavioral Health MercyPatient Service Representative - Full Time - Behavioral HealthOklahoma City, OKFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Skills, Knowledge and Abilities: Strong verbal and written communication skills are essential for interacting with patients, healthcare professionals, and other staff members.
Patient Service Representative - Full Time Yukon MercyPatient Service Representative - Full Time YukonYukon, OKFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Skills, Knowledge and Abilities: Strong verbal and written communication skills are essential for interacting with patients, healthcare professionals, and other staff members.
Patient Service Representative - Bilingual, English/Spanish ZOLL LifeVestPatient Service Representative - Bilingual, English/SpanishBartlesville, OKThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies. The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®.
Patient Service Representative ZOLL LifeVestPatient Service RepresentativeDuncan, OKThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies. The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®.
Pharmacy Technician Patient Services Representative BrightSpring Health ServicesPharmacy Technician Patient Services RepresentativeOklahoma City, OKAmerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Obtains supply inventories from patients/clients and communicates information obtained to the Pharmacist as required and documents all communication in patient progress notes on the pharmacy computer system.
Patient Account Representative Harris Computer SystemsPatient Account RepresentativeOklahoma, OKAudits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines. Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.
Patient Services Representative Oklahoma Arthritis CenterPatient Services RepresentativeTulsa, OKCollect and accurately enter required patient information in the Practice Management System to ensure the necessary information is available for clinic staff and to ensure accurate and timely filing of insurance claims and billing. Essential Functions: Greet and appropriately assist all patients and visitors in a prompt, friendly, courteous, and professional manner.
NewPatient Registration (Customer Service) R1 RCM IncPatient Registration (Customer Service)Tulsa, OK$16–$21.10 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Part Time As Needed Patient Registration Customer Service Repreesentative R1 RCM IncPart Time As Needed Patient Registration Customer Service RepreesentativeSapulpa, OK$16.50–$20.66 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Patient Registration (Customer Service) R1 Revenue Cycle ManagementPatient Registration (Customer Service)Tulsa, OK$16–$21.10 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Part Time As Needed Patient Registration Customer Service Repreesentative R1 Revenue Cycle ManagementPart Time As Needed Patient Registration Customer Service RepreesentativeSapulpa, OK$16.50–$20.66 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
NewPatient Registration Clerk - Hospital - Tulsa Muscogee Creek Nation Department of HealthPatient Registration Clerk - Hospital - TulsaTulsa, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
NewPatient Registration Clerk - Clinic - Tulsa Muscogee Creek Nation Department of HealthPatient Registration Clerk - Clinic - TulsaTulsa, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Patient Registration Clerk - PRN - Hospital - Tulsa Muscogee Creek Nation Department of HealthPatient Registration Clerk - PRN - Hospital - TulsaTulsa, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Patient Registration Clerk - Healing & Recovery Center - Muskogee Muscogee Creek Nation Department of HealthPatient Registration Clerk - Healing & Recovery Center - MuskogeeMuskogee, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Patient Registration Clerk - PRN - Clinic - Okmulgee Muscogee Creek Nation Department of HealthPatient Registration Clerk - PRN - Clinic - OkmulgeeOkmulgee, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Patient Registration Team Lead - Hospital - Okmulgee Muscogee Creek Nation Department of HealthPatient Registration Team Lead - Hospital - OkmulgeeOkmulgee, OklahomaSatisfactory job performance will be determined by successful execution of the following: Works with insurance companies to obtain necessary prior authorizations as required for services provided. Interview incoming patients or representatives to include necessary information for obtaining prior authorization for services provided, scheduling, admission or registration.
Patient Registration Clerk - PRN - ED - Hospital - Okmulgee Muscogee Creek Nation Department of HealthPatient Registration Clerk - PRN - ED - Hospital - OkmulgeeOkmulgee, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Patient Registration Clerk - PRN - Hospital - Okmulgee Muscogee Creek Nation Department of HealthPatient Registration Clerk - PRN - Hospital - OkmulgeeOkmulgee, OklahomaInterviews patients or representatives to obtain reason for visit, all demographic information, person to notify in case of emergency, attending physician and individual or insurance company responsible for payment. Ability to communicate courteously and effectively with patients and their families, MNDH staff and the general public for the purpose of supplying or obtaining information.
Part time Patient Customer service Repesentative R1 RCM IncPart time Patient Customer service RepesentativeBroken Arrow, OK$14.50–$18.99 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Part time patient Customer Service Rep R1 RCM IncPart time patient Customer Service RepBartlesville, OK$14.50–$18.99 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Patient Access Rep MORTON COMPREHENSIVE HEALTHPatient Access RepTulsa, OKThis position has been deemed a" Safety-Sensitive" position; therefore, Morton reserves the right to refuse to hire an applicant or may terminate an employee in a "Safety-Sensitive Position" who tests positive for medical marijuana even if he/she has a valid medical marijuana license. This includes greeting patients, registration, answering phones, scheduling appointments, creating patient accounts and charts, and collecting patient payments.
Patient Access Rep - East Location MORTON COMPREHENSIVE HEALTHPatient Access Rep - East LocationTulsa, OKThis position has been deemed a" Safety-Sensitive" position; therefore, Morton reserves the right to refuse to hire an applicant or may terminate an employee in a "Safety-Sensitive Position" who tests positive for medical marijuana even if he/she has a valid medical marijuana license. This includes greeting patients, registration, answering phones, scheduling appointments, creating patient accounts and charts, and collecting patient payments.
Director of Patient Access United Surgical Partners International IncDirector of Patient AccessOklahoma City, OKResponsible and accountable for the management of all Patient Access Services for Community Hospital North Campus, Northwest Surgical Hospital, and north OKC Outpatient Therapy ancillary sites, which includes strategic and operational oversight. Possess excellent verbal and written communication skills in order to effectively interact with patients, physicians, administration, and the hospital management team.
Part Time Patient Customer Service Rep R1 Revenue Cycle ManagementPart Time Patient Customer Service RepBartlesville, OK$14.50–$18.99 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Part Time Patient Customer Service Repesentative R1 Revenue Cycle ManagementPart Time Patient Customer Service RepesentativeBroken Arrow, OK$14.50–$18.99 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Patient Access Registrar R1 RCM IncPatient Access RegistrarBroken Arrow, OK$15–$18 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Patient Services Rep / Stroud Utica Park Clinic Stroud Family MedicinePatient Services Rep / StroudSTROUD, OklahomaUtica Park Clinic, founded in 1982, is a multi-specialty medical group with more than 300 employed physicians and advanced practice providers representing more than 30 specialties across 82 sites in Oklahoma, serving 21 communities. Responsible for ensuring patient flow, medical record availability and completeness, scheduling physician/provider appointments, and maintenance of physician appointment schedules.
Patient Access Specialist (PRN) Ensemble Health PartnersPatient Access Specialist (PRN)Tulsa, OK$17–$18.15 / hourResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistTulsa, OklahomaResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Service Rep - Full Time - McAuley MercyPatient Service Rep - Full Time - McAuleyOklahomaFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Skills, Knowledge and Abilities: • Strong verbal and written communication skills are essential for interacting with patients, healthcare professionals, and other staff members.
Patient Service Rep - Edmond Signal Ridge MercyPatient Service Rep - Edmond Signal RidgeOklahomaFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Strong verbal and written communication skills are essential for interacting with patients, healthcare professionals, and other staff members.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNPryor, OklahomaPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. • Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Registrar R1 Revenue Cycle ManagementPatient Access RegistrarBroken Arrow, OK$15–$18 / hourWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Manager Patient Access Ensemble Health PartnersManager Patient AccessClaremore, OK$63,100–$94,650 / yearAdditionally, managing Financial Service Representatives and ensuring that proper accounting processes are followed, cash drawer is balanced, money is deposited timely and posted accurately to patient accounts, and proper logs are completed and submitted as requested by Financial oversight departments. Admitting staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and providing excellent customer service.
NewPatient Services Rep Sr Integris Health IncPatient Services Rep SrOklahoma City, OKThe Patient Services Representative Senior acts as a mentor to new entry-level Patient Services Representatives and is responsible for ensuring the integrity of clinic data and patient information, answering telephones, taking concise messages, scanning and indexing information into the medical record, handling requests for medical records and basic scheduling. Must be able to handle a high volume of telephone calls (potentially hundreds per day), and high volume of patient interaction (potentially hundreds per day), i.e., scheduling appointments, discussing billing problems, setting up payment arrangements, collecting past due payments.
Patient Access Specialist Bilingual, M-F 2:00PM -6:00PM (69597) Variety Care LLCPatient Access Specialist Bilingual, M-F 2:00PM -6:00PM (69597)Oklahoma City, OKSupports Variety Care's accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Familiar with all services provided within our clinics and provides patient access through scheduling of appointments, telehealth services or connection to key resource departments.
Patient Access Specialist Bilingual, M-F 2:00PM -6:00PM (69640) Variety Care LLCPatient Access Specialist Bilingual, M-F 2:00PM -6:00PM (69640)Oklahoma City, OKSupports Variety Care's accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Familiar with all services provided within our clinics and provides patient access through scheduling of appointments, telehealth services or connection to key resource departments.
Patient Access Specialist Full Time, BIlingual (69076) Variety Care LLCPatient Access Specialist Full Time, BIlingual (69076)Oklahoma City, OKSupports Variety Care's accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Familiar with all services provided within our clinics and provides patient access through scheduling of appointments, telehealth services or connection to key resource departments.
Patient Food Service Rep Integris Health IncPatient Food Service RepOklahoma City, OKThe Patient Food Service Representative responsibilities include, but are not limited to, the following: Utilizes software to update and modify patient menus prior to meals, update patient meal preferences, tally menu items for production areas, and process all computer diet order requests in a timely manner. The Patient Food Service Representative is responsible for the clerical processing of all diet orders, nourishment orders, diet instructions, consults, menu distribution and pick up, and assisting patients with menu selections.
Patient Services Rep - Neurology - Days Integris Health IncPatient Services Rep - Neurology - DaysOklahoma City, OKMust be able to handle a high volume of telephone calls (potentially hundreds per day), and high volume of patient interaction (potentially hundreds per day), i.e., scheduling appointments, discussing billing problems, setting up payment arrangements, collecting past due payments. The Patient Services Representative is responsible for answering telephones, taking concise messages, scanning and indexing information into the medical record, handling requests for medical records and basic scheduling.
Customer Assistance Representative III State of OklahomaCustomer Assistance Representative IIIClaremore, OKKnowledge, Skills, and Abilities required at this level include knowledge of state laws and rules concerning the business operations of the agency; of accounting principles and practices; of various types of business organizations; of office practices; of business arithmetic; of methods and techniques for conducting research; of training principles and techniques; and of supervisory principles and practices. Ability is required to read and interpret laws; to communicate effectively, both orally and in writing; to establish and maintain effective working relationships with others; to apply laws and rules to individual problems and situations; to organize and direct the work of others; and to construct various types of reports.
Patient Access Rep - PRN - Mercy Hospital Kingfisher MercyPatient Access Rep - PRN - Mercy Hospital KingfisherKingfisher, OKThis co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies and serves as a mentor to fellow Patient Access co-workers. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Patient Access Supervisor Ensemble Health PartnersPatient Access SupervisorTulsa, OK$47,400–$59,250 / yearJob Competencies: Decision Making - Makes decisions by gathering, analyzing, and interpreting information; chooses the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions. Coaching & Developing Others - Partners with individuals' and supports their development of knowledge, skills, and abilities; empowers them to unlock their potential and maximize performance and growth knowing that developing you makes us better.
NewPatient Access Rep - Urology Clinic MercyPatient Access Rep - Urology ClinicOklahoma City, OKFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. - Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Pawnee, OK$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Watonga, OK$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Patient Care Technician - PCT Fresenius Medical Care AG & Co KGaAPatient Care Technician - PCTClaremore, OKEducation: Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
Patient Service Rep - Edmond Signal Ridge MercyPatient Service Rep - Edmond Signal RidgeEdmond, OKFrom day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Skills, Knowledge and Abilities: Strong verbal and written communication skills are essential for interacting with patients, healthcare professionals, and other staff members.
Patient Benefit Rep - Remote MercyPatient Benefit Rep - RemoteOklahoma City, OKRemoteThe Patient Benefit Representative is responsible for reviewing patient appointments and/or admissions, obtaining information related to out of pocket financial responsibility, securing necessary authorizations, performing insurance management, securing insurance referral requirements and coordinates as needed with insurance companies to ensure timely reimbursement. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.