Oklahoma Heart Hospital
Hospital Insurance Follow-Up Specialist I
Oklahoma Heart Hospital, Oklahoma City, Oklahoma, United States, 73116
Overview
Join 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 Hospital Insurance Follow‑up Specialist will be responsible for collections and follow‑up with insurance companies to obtain prompt and accurate payment on accounts. Functions include numerous phone calls with insurance companies and patients, extensive investigation for timely insurance payments, and a constant focus on timely filing deadlines. The role involves following up on Medicare, Medicaid, and commercial encounters via web portals and online systems. The Specialist will perform 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 through 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 and telephone skills, strong oral and written communication, and proven organization skills needed.
Working Knowledge:
Must possess a foundational knowledge of information systems and claims management, experience in healthcare required, knowledge of third‑party reimbursement, including Medicare, Medicaid and commercial insurance, and experience with Medicare online system and payer portals.
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.
#J-18808-Ljbffr
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 Hospital Insurance Follow‑up Specialist will be responsible for collections and follow‑up with insurance companies to obtain prompt and accurate payment on accounts. Functions include numerous phone calls with insurance companies and patients, extensive investigation for timely insurance payments, and a constant focus on timely filing deadlines. The role involves following up on Medicare, Medicaid, and commercial encounters via web portals and online systems. The Specialist will perform 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 through 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 and telephone skills, strong oral and written communication, and proven organization skills needed.
Working Knowledge:
Must possess a foundational knowledge of information systems and claims management, experience in healthcare required, knowledge of third‑party reimbursement, including Medicare, Medicaid and commercial insurance, and experience with Medicare online system and payer portals.
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.
#J-18808-Ljbffr