Health specialist Jobs in Oklahoma City, OK

Job Description

Location :

OU Health Physicians Waterview Park

2607 SW 119th St., Suite B

Oklahoma City, Oklahoma

Shift : Full-Time (40 hours / week) 10-hour shifts

General Description :

The Billing Office Specialist will be responsible for verifying insurance coverage and obtaining authorizations and pre-certifications for all scheduled appointments for new and established patients, while ensuring patient satisfaction and quality.

Essential Responsibilities :

• Provide customer service by answering incoming calls related to inquiries, and providing resolution based on established procedures. This includes, but is not limited to, inquiries from providers and patients regarding billing, eligibility, enrollment, provider network, program benefits, appeals and grievances. Calls may be triaged according to established procedures. Must maintain accurate, detailed, and well documented logs of each call.
• Generate insurance verification and precertification reports as requested.
• Contact insurance companies for patient benefits and precertification requirements.
• Utilize dedicated insurance and billing programs to research and resolve patient billing inquires and to establish up-front payment arrangements. (Passport, Artiva, Onbase and Host)
• Complete financial analysis and collect estimated patient liabilities.
• Provide estimates to patients and / or physicians as requested.
• Assists front office staff with ensuring point-of-service collections are made when applicable.
• Assist patients with payment arrangements and charity applications.
• Work closely with outside agencies in helping patients apply for Medicaid and state aid.
• Enter notes into the collections system for all patient encounters.
• Maintain journal for cash and credit card payments and provide backup cashiering functions as needed.
• Assists in maintaining patient billing files, records and other information.
• Maintains insurance files regarding updates and changes.
• Identifies, analyzes, and resolves work problems.
• Forward problems or concerns to Administrative Services Manager.
• Maintain professional image and implement excellent customer service to customers.
• Ensures that patients are treated courteously and that other visitors are screened and properly directed.
• Works with other staff to ensure efforts are coordinated and high-quality patient care is provided.
• Performs select administrative duties.
• Compiles and condenses statistical data for reports and records.
• Ensures any patient complaints are handled appropriately.
• Ensure all offices are opened and closed according to established procedures.
• Participates in professional development activities.

General Responsibilities :

Minimum Qualifications :

Education : None required.

Experience : 1 or more years of professional work experience required.2 or more years of experience in medical office and 1 year of collections experience preferred.

OR equivalent combination of experience and education.

License(s) / Certification(s) / Registration(s) Required : None required.

Knowledge, Skills and Abilities :