What are the responsibilities and job description for the Hospital Billing Lead position at Oklahoma Heart Hospital?
Overview oin Our Team at Oklahoma Heart Hospital (OHH) ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation. Why You'll Love Working Here: Comprehensive Benefits: Medical, Dental, and Vision coverage 401(k) plan with employer match Long-term and short-term disability Employee Assistance Programs (EAP) Paid Time Off (PTO) Extended Medical Benefits (EMB) Opportunities for continuing education and professional growth Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day! We can't wait for you to join our heart-centered team! Responsibilities The OHH Hospital Billing Lead position insures patient claims are produced, processed and submitted for payment accurately and timely. Completes follow-up on rejected and returned claims to insure prompt /accurate payment on accounts according to department standards. Monitors & reconciles claims submitted to payers daily. Supervises no employees. Makes independent decisions as to the management of accounts. Requires contact with the public and employees. Handles confidential information. Performs all work in accordance to the mission, vision and values of Oklahoma Heart Hospital. Training of new employees along with training existing employees on new processes. Auditing team member to ensure accuracy. Assisting with monitoring work flows to ensure timely claim submission. Review and correct warnings, errors, and rejects on paper & electronic claims within 48 hours of import. Ensure all paper claims generate by 5 PM each weekday evening. Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours. Review all institutional (research study) claims, identifies claims needing adjustment, attachments or additional information prior to submission. Qualifications Education: Associate's degree and/or 3 or more years of experience Experience: Three (3) year job related experience in Health Care required. Three (3) year job related experience related to claim correction and submission. Knowledge of payer rules, including Medicare, Medicaid and commercial insurance required. Good investigative skills and telephone techniques. Must have good oral and written communication skills. Proven organization skills needed. Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word. 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. As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. 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.
The OHH Hospital Billing Lead position insures patient claims are produced, processed and submitted for payment accurately and timely. Completes follow-up on rejected and returned claims to insure prompt /accurate payment on accounts according to department standards. Monitors & reconciles claims submitted to payers daily. Supervises no employees. Makes independent decisions as to the management of accounts. Requires contact with the public and employees. Handles confidential information. Performs all work in accordance to the mission, vision and values of Oklahoma Heart Hospital. Training of new employees along with training existing employees on new processes. Auditing team member to ensure accuracy. Assisting with monitoring work flows to ensure timely claim submission. Review and correct warnings, errors, and rejects on paper & electronic claims within 48 hours of import. Ensure all paper claims generate by 5 PM each weekday evening. Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours. Review all institutional (research study) claims, identifies claims needing adjustment, attachments or additional information prior to submission.
Education: Associate's degree and/or 3 or more years of experience Experience: Three (3) year job related experience in Health Care required. Three (3) year job related experience related to claim correction and submission. Knowledge of payer rules, including Medicare, Medicaid and commercial insurance required. Good investigative skills and telephone techniques. Must have good oral and written communication skills. Proven organization skills needed. Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word. 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. As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. 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.
Oklahoma Heart Hospital considers all qualified applicants regardless of protected status as defined by applicable law, including protected veteran or disability status. AA/EOE
The OHH Hospital Billing Lead position insures patient claims are produced, processed and submitted for payment accurately and timely. Completes follow-up on rejected and returned claims to insure prompt /accurate payment on accounts according to department standards. Monitors & reconciles claims submitted to payers daily. Supervises no employees. Makes independent decisions as to the management of accounts. Requires contact with the public and employees. Handles confidential information. Performs all work in accordance to the mission, vision and values of Oklahoma Heart Hospital. Training of new employees along with training existing employees on new processes. Auditing team member to ensure accuracy. Assisting with monitoring work flows to ensure timely claim submission. Review and correct warnings, errors, and rejects on paper & electronic claims within 48 hours of import. Ensure all paper claims generate by 5 PM each weekday evening. Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours. Review all institutional (research study) claims, identifies claims needing adjustment, attachments or additional information prior to submission.
Education: Associate's degree and/or 3 or more years of experience Experience: Three (3) year job related experience in Health Care required. Three (3) year job related experience related to claim correction and submission. Knowledge of payer rules, including Medicare, Medicaid and commercial insurance required. Good investigative skills and telephone techniques. Must have good oral and written communication skills. Proven organization skills needed. Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word. 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. As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. 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.
Oklahoma Heart Hospital considers all qualified applicants regardless of protected status as defined by applicable law, including protected veteran or disability status. AA/EOE
