Jobs
>
Oklahoma City

    Pre-Cert Verification Coordinator - Oklahoma City, United States - Oklahoma Heart Hospital

    Default job background
    Description
    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)
    Remote Options

    Training will take place on site for a timeframe-then will transition to remote based on remote expectations.

    This position is located: 7800 NW 85th Terrace, OKC OK 73132

    Responsibilities


    The OHH Pre-Cert Veification Coordinator will work in a fast-paced environment this position is responsible for pre-registration of patients, to include pre-authorization, insurance verification, calculation of patient portion prior to a patient's testing or procedure and arrangements with patient for payment at time of service prior to admission to OHH and/or its clinics.

    Notifies Registration of any patient financial obligation for collection prior to service.

    Team member is responsible for communicating any potential issues surrounding pre-authorization or other pre-arrival requirements to physicians and their teams as well as others involved in the patient's care.

    Requires extensive contact with the insurance companies/payers, public and employees. Handles patient confidential information.


    Essential Functions:

    • Obtains list of patients admitted and scheduled daily and reviews each patient account to determine action needed.
    • Team member will work with their unit to obtain pre-auth for 100+ physicians. The team member is in direct contact with physicians, nurses and patients as well as insurance companies and their clerical or clinical staff.
    • Obtains required insurance verification of scheduled services according to departmental guidelines a minimum of one day prior to admission or registration of services; within 24 hours of ER services.
    • Obtains required insurance verification of weekend admissions according to departmental guidelines within 24 hours of notification of admission.
    • Follows through on delivery of requested items to insurance company.
    • Accepts and places calls to patients and employer groups as needed and updates information as needed.
    • Notifies director of any consistent errors or issues.
    • Adheres to all hospital policies and procedures.
    Knowledge of anatomy, physiology or medical terminology will be helpful in this position. Proven organization and time management skills are crucial. Creativity and innovation is highly encouraged.

    Successful applicants are passionate about helping others, are teachable, learn quickly, will exceed expectations, are solution-oriented and looking for future leadership opportunities.

    They handle patient confidential information and will adhere to all HIPAA expectations.

    Qualifications

    Education:
    High school diploma; prefer some college

    Experience:
    Minimum of 50 wpm.

    Candidate should have at least one (1) year of job related experience or currently work in the Health Care field.

    Knowledge of third party reimbursement, including Medicare, Medicaid and commercial insurance required. Excellent Customer Service background. Good investigative skills and telephone techniques. Must have solid written and verbal communication skills.

    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.


  • Oklahoma Heart Hospital Oklahoma City, United States

    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 ...


  • Crimson Solutions Central City, United States

    Training as a Management Assistant (m/f/d) at Backstube Wünsche GmbH in Gutenbergstraße 11, 85080 Gaimersheim - Job ID SB · Start date · Employment typeTraining, Full-time · Duration3 yearsYour tasks: · Invoice verification, master data, personnel or branch processing: You will g ...


  • Oklahoma State University Oklahoma City, United States

    Job Summary: · Responsible for the creation, placement, and coordination ofposition advertisements for internal and external communication. Receives,organizes and tracks resumes and applications for all open positions. Responsiblefor creation, updates, and verification of all job ...


  • Oklahoma State University Oklahoma City, United States

    Job Summary: · The AdmissionCommunication Specialist is responsible for managing a communication plan forprospective students and applicants. This position provides lead support forapplication processing and advanced technical aspects of the admission CRM system.Frontline admissi ...


  • KPH Healthcare Services, Inc. Oklahoma City, United States

    **Overview** · **Job Summary:** Responsible for managing all aspects of the client intake process including managing the members of the intake team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and conce ...


  • Corps Partners Oklahoma City, United States

    Our client is a transatlantic cutting-edge aerospace company developing solar powered aircraft solutions capable of achieving perpetual flight with heavy, and powerful payload capacity. Utilizing technology based upon the longest continuous renewably powered flight program in his ...


  • Management Business Solutions Oklahoma City, United States

    System Engineering Developer · About Us · Our client is a transatlantic cutting-edge aerospace company developing solar powered aircraft solutions capable of achieving perpetual flight with heavy, and powerful payload capacity. Utilizing technology based upon the longest contin ...


  • ITech Consulting Partners Oklahoma City, United States

    Our client is a transatlantic cutting-edge aerospace company developing solar powered aircraft solutions capable of achieving perpetual flight with heavy, and powerful payload capacity. Utilizing technology based upon the longest continuous renewably powered flight program in his ...


  • Cameron Craig Group Oklahoma City, United States

    Our client is a transatlantic cutting-edge aerospace company developing solar powered aircraft solutions capable of achieving perpetual flight with heavy, and powerful payload capacity. Utilizing technology based upon the longest continuous renewably powered flight program in his ...


  • Addison Group Oklahoma City, United States

    The Human Resources Generalist is responsible for performing HR-related duties on a professional level and works closely with management in supporting designated geographic regions or business units. This position carries out responsibilities in the following functional areas: em ...


  • Bridgeway Professionals Inc Oklahoma City, United States

    Our client is a transatlantic cutting-edge aerospace company developing solar powered aircraft solutions capable of achieving perpetual flight with heavy, and powerful payload capacity. Utilizing technology based upon the longest continuous renewably powered flight program in his ...


  • ADDP Oklahoma City, United States

    Vice President of Human Resources/Professional Development - Venture Community Services - Sturbridge, MA · SUMMARY OF POSITION: · The Vice President of Human Resources/Professional Development reports to the President & CEO. This position will be responsible for the overall deve ...

  • InsideHigherEd

    Senior Lab Tech

    1 week ago


    InsideHigherEd Oklahoma City, United States Administrative Jobs ,

    Position Details Req ID: req17564 Position Title: Senior Lab Tech Position Type: Staff Full-Time Position Number: AS7313 OSU Campus: Stillwater Department: Ok Animal Disease Diagnostic Lab Location Address: 1950 W. Farm Rd, Stillwater, OK 74078 USA Hiring Supervisor: Brianna Hami ...


  • Oklahoma City Housing Authority Oklahoma City, United States

    Job Details · Job Location · Oklahoma City Housing Authority - Oklahoma City, OK · Salary Range · $31, $47,025.00 Salary · Description · This position is eligible to telework. Individual approval is subject to Personnel Policy requirements. · SCOPE: · Responsible for obtai ...


  • Nutanix Oklahoma City, United States

    The Aerospace Corporation is the trusted partner to the nation's space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally funded research and development center (FFRDC), we are broadly engaged across all aspects of s ...

  • HCL Technologies

    Specialist

    1 week ago


    HCL Technologies Oklahoma City, United States

    Job Description (Posting). · Reporting to: Field Services Manager · As a member of the Field Service Operations team, the candidate will provide high quality support with very good customer service, technical expertise, and timeliness. This position has frequent contact with end ...

  • INTEGRIS Health

    Registered Nurse

    6 days ago


    INTEGRIS Health Oklahoma City, OK, United States Part time

    INTEGRIS Health is seeking a Registered Nurse (RN) Transplant for a nursing job in Oklahoma City, Oklahoma. · Job Description & Requirements · Specialty: Transplant · Discipline: RN · Duration: Ongoing · Employment Type: Staff · INTEGRIS Health Baptist Medical Center, Oklahoma's ...


  • Integris Health Oklahoma City, United States

    INTEGRIS Health Baptist Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for an RN Coordinator in Oklahoma City, OK. In this position, you'll work Monday through Friday 8a-5p, Full Time, with our Heart Post Transplant team providing exceptio ...

  • Greater Giving

    Client Consultant

    1 week ago


    Greater Giving Oklahoma City, United States

    Summary of This Role · Oversees launch and conversion implementations including the development of systems and business process related solutions on behalf of the client. Defines client needs, determines a strategy and develops a plan/proposal for delivery of the project/impleme ...


  • OU Health Oklahoma City, OK, United States

    Position Title: · Experienced RN- Registered Nurse - Pediatric OR Educator · Department: · Pediatric OR · Job Description: · New to OU Health? Ask your recruiter about our competitive total rewards package including a newly increased and competitive sign on bonus · Location: Okl ...