HCA, Hospital Corporation of America Billing Office Specialist - Breast Health Network - O.U. Medical Center in Edmond, Oklahoma

Essential Functions/Duties:
* Provide customer service by answering incoming calls related to inquiries, and providing resolution based on established procedures. This includes, but is not limited to inquiries from providers and patients regarding billing, eligibility, enrollment, provider network, program benefits, appeals and grievances. Calls may be triaged according to established procedures. Must maintain accurate, detailed, and well documented logs of each call.

  • Generate insurance verification and precertification reports as requested.

  • Contact insurance companies for patient benefits and precertification requirements.

  • Utilize dedicated insurance and billing programs to research and resolve patient billing inquires and to establish up-front payment arrangements. (Passport, Artiva, Onbase and Host)

  • Complete financial analysis and collect estimated patient liabilities.

  • Provide estimates to patients and/or physicians as requested.

  • Assists front office staff with ensuring point-of-service collections are made when applicable.

  • Assist patients with payment arrangements and charity applications.

  • Work closely with outside agencies in helping patients apply for Medicaid and state aid.

  • Enter notes into the collections system for all patient encounters.

  • Maintain journal for cash and credit card payments and provide backup cashiering functions as needed.

  • Assists in maintaining patient billing files, records and other information.

  • Maintains insurance files regarding updates and changes.

  • Identifies, analyzes, and resolves work problems.

  • Forward problems or concerns to Administrative Services Manager.

    Minimum Qualifications:

    EDUCATION High school diploma or GED required

    EXPERIENCE Two years of medical office or equivalent experience is required. At least one year of collections experience required. Relevant education may substitute experience requirement.

Title: Billing Office Specialist - Breast Health Network - O.U. Medical Center

Location: Oklahoma-Edmond-Breast Health Network

Requisition ID: 26634-25070