Hospital Insurance Follow-Up Specialist I

Overview

ONE TEAM. ALL HEART.

At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort. OHH offers a competitive benefits program to all team members from the first day of employment.

Top Tier Benefit Packages:

• Medical, Dental, and Vision

• 401 (k) plan

• Paid Time Off (PTO)

• Extended Medical Benefit (EMB)

OHH Financial Services: 7800 NW 85th Terrace, OKC OK 73132

Shift: Monday - Friday Days

Position is NOT REMOTE

Responsibilities

The Hospital Insurance Follow-up Specialist will be responsible for collections and follow-up with insurance company to obtain prompt /accurate payment on accounts. Functions include numerous phone calls with insurance companies and patients, extensive investigating for timely insurance payments, always cognizant of timely filing deadlines.

Follow-up on Medicare, Medicaid, and Commercial encounters via the web portals and online systems. Supervises no employees. Makes independent decisions as to the management of accounts.

Requires extensive contact with the public and employees. Handles confidential information. Performs all work in accordance with the mission, vision and values of Oklahoma Heart Hospital.

• Using assigned work lists, contacts insurance companies to confirm claim receipt, obtain payment and estimated payment date within 90 days of billed date.

• Works received correspondence weekly in order to obtain resolution of pending accounts.

• Work with adjacent teams to ensure all EDI information is accurate and updated.

• Update help desk tickets with statuses and outcomes.

• Answer inquiries within 48 hours to maximize reimbursement timely.

• Works denials from assigned Remittance Advices weekly & according to policy and procedure.

• Document clearly and completely all actions taken on encounters promptly.

Qualifications

Education: High School Diploma or Equivalent

Experience One (1) year job related experience in revenue cycle required.

Knowledge of third-party reimbursement, including Medicare, Medicaid and commercial insurance required.

Experience with the Medicare online system. Excellent Customer Service background. Good investigative skills and telephone techniques.

Must have good oral and written communication skills. Proven organization skills needed.

Working Knowledge: Must possess a foundational knowledge of information systems and claims management. experience in healtcare required.

Knowledge of third-party reimbursement, including Medicare, Medicaid and commercial insurance required.

Experience with the Medicare online system and Payer portals. Excellent Customer Service background

Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

Learn more about diversity at Oklahoma Heart Hospital.