- Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.
- Prioritize high dollar claim balances through work queues
- Review & work incoming insurance and patient correspondence including refund requests.
- Send appeals when appropriate or provide the requested medical documentation.
- Ability to review medical documentation to justify medical necessity.
- Review patient balances to ensure accuracy and follow up with patients to obtain payments.
- Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances.
- Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.
- Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD's) for claim resolution.
- Negotiate payment amounts for procedures with Third Party Administrators for out of network providers.
- Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
- 2+ years of ASC revenue cycle OR orthopedic collections experience is preferred.
- Strong understanding of medical billing and insurance reimbursement processes, including experience with denials and appeals.
- Ability to read and interpret insurance explanations of benefits and managed care contracts.
- Excellent interpersonal and communication skills.
- Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines.
- Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
- Advantx, Vision, HST, SIS Complete, or Waystar experience preferred.
- High School Diploma or equivalent is required.
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Payroll Specialist
2 weeks ago
BOK Financial Tulsa, United StatesReq ID: 74889 · Location: Tulsa -TUL · Areas of Interest: Human Resources · Pay Transparency Salary Range: Not Available · Application Deadline: 05/31/2024 · BOK Financial Corporation Group includes BOKF, NA; BOK Financial Securities, Inc. and BOK Financial Private Wealth, In ...
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Account Manager, Commercial Lines
3 weeks ago
Hub International Tulsa, United StatesAbout Us: · HUB International is a top 5 global insurance broker providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services. HUB has more than 475 offices across the United States, Can ...
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Inventory Accounting Specialist
3 weeks ago
Airgas Tulsa, United StatesJob Description - Inventory Accounting Specialist **Job Description** · Inventory Accounting Specialist **Description** · **Navigate your career @ Airgas** · **Division Inventory Control Specialist** · **Located in Tulsa, OK /** *Hybrid work arrangment: Work in Office and fro ...
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Inventory Cycle Counter
3 weeks ago
Lloyd Richards Personnel Tulsa, United StatesJob Description · Job DescriptionWest Tulsa grease manufacturing company needs Inventory Cycle Counter · The primary responsibility is to ensure physical inventories, cycle counts, and process auditing. · Support maintaining identification and inventory by location · Research inv ...
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Senior Patient Access Specialist
1 week ago
Ensemble Health Partners Tulsa, United StatesThank you for considering a career at Ensemble Health PartnersEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solut ...
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Parts Specialist
2 weeks ago
Snell Motor Company Tulsa, United StatesJob Description · Job DescriptionSnell Motor Companies is comprised of Jaguar Land Rover Austin, Jaguar Land Rover Dallas, Jaguar Land Rover Frisco, Riverside Ford of Tulsa and Snell Collision. Family owned and operated; the Snell family began serving the Dallas community in 1973 ...
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Abundant Solutions Tulsa, United StatesJob Description · Job DescriptionSummary of Job:The Inventory Control Specialist/Clerk is responsible for daily management of the inventory system including picking and stocking parts for Machine Assembly production, loading/unloading of the Vertical Lift Modules that house parts ...
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Talent Management Specialist
1 week ago
Tulsa Public Schools Tulsa, United StatesJob Description · Job DescriptionFull Job Description: Talent Management Specialist · Salary Grade: Hourly 12 · Tulsa Public Schools' existing salary schedules provide careerincrement adjustments based on education/experience and/or years of creditableservice. For more informatio ...
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Discipline Specialist
1 week ago
Tulsa Honor Academy Tulsa, United StatesSCHOOL YEAR ROLE · WHO WE ARE · At Tulsa Honor Academy (THA), we are on a mission to equip all scholars with the academic skills, content knowledge, and ethical character required for college graduation and life success. · We believe ALL scholars, regardless of race, backgroun ...
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Skin Health Sales Representative
1 week ago
Medline Industries Tulsa, United StatesMedline, a market leader in the advanced wound and skin care market, has an immediate opening in our Skin and Wound Care sales team in our Tulsa/Little Rock territory.The team sells a complete line of skin and wound care lines including: wound dressings, support surfaces, post-op ...
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Contract Variance Specialist
2 weeks ago
Saint Francis Health System Tulsa, United StatesCurrent Saint Francis Employees - Please click HERE to login and apply. · Full Time · Hours: Monday - Friday | 8:00am - 4:30pm · Job Summary: The Contract Variance Specialist will research payment policies and review potential underpayments/overpayments on both facility and pr ...
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Surgery Benefits Coordinator
2 weeks ago
Trinity Employment Specialists Tulsa, United StatesJob Description · Job DescriptionJob Title:Surgery Benefits Coordinator · Reports To:Manager, Revenue Cycle · Job Summary:Works up insurance benefits for all upcoming surgeries and some injections for all providers.Sends the deposit required out to patients and follows up before ...
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Onsite Medical Billing Manager
2 weeks ago
Trinity Employment Specialists Tulsa, United StatesJob Description · Job DescriptionPOSITION TITLE:Billing Manager · EMPLOYEMENT STATUS:Full Time | Direct Hire · DEPARTMENT:Billing · POSITION SUMMARY:Responsible for managing and directing all processes of the revenue cycle with an emphasis on maximizing patient satisfaction and p ...
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Patient Account Representative
3 weeks ago
Trinity Employment Specialists Tulsa, United StatesJob Description · Job DescriptionPatient Account Representative | Tulsa, OK · Reports To:Revenue Cycle Manager · Job Summary:Review and follow-up of charges billed to insurance carriers.This includes contacting insurance companies, researching and re-filing claims, resolving pati ...
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RFP Proposal Specialist
3 weeks ago
CareATC Tulsa, United StatesDo you have a knack for crafting persuasive proposals and a passion for helping sales win deals? Are you detail-oriented and enjoy working collaboratively to achieve a common goal? If so, then we want you on our teamCompany: CareATCAbout Us:Founded in 2000 and based in Tulsa, Okl ...
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Patient Access Specialist
1 week ago
Ensemble Health Partners Tulsa, United StatesThank you for considering a career at Ensemble Health PartnersEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solut ...
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Patient Access Specialist
2 weeks ago
Ensemble Health Partners Tulsa, United StatesThank you for considering a career at Ensemble Health Partners · Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle s ...
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Sales Account Manager
1 week ago
Burkhart Company Tulsa, United StatesWe are looking for a Sales Account Manager in Tulsa, OK. · What's in it for you?Competitive base salary plus commissions along with a monthly auto reimbursement. · Comprehensive benefit package including medical, dental and vision coverage. · Generous PTO Program, Paid Sick Lea ...
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Sales Account Manager
2 weeks ago
Burkhart Company Tulsa, United StatesWe are looking for a Sales Account Manager in Tulsa, OK.What's in it for you?Competitive base salary plus commissions along with a monthly auto reimbursement.Comprehensive benefit package including medical, dental and vision coverage.Generous PTO Program, Paid Sick Leave, 8 paid ...
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Employer Relationship Manager
2 weeks ago
inTulsa Tulsa, United States**InTulsa is partnering with FreeWorld to find candidates for this exciting role in Tulsa* · **Location: Tulsa, OK. · This is an remote for those already in Tulsa, OK or willing to relocate to Tulsa, OK*** · *Job Description** * · The Employer Partnerships Manager is responsibl ...
A/R Revenue Cycle Specialist - Tulsa, United States - NSN Revenue Resources
Description
Job Type
Full-time
Description
Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement.
Responsibilities:
Salary Description
$18-$21
