Bundled Services Specialist - Full-Time - 8a - 5p
- Posted: over a month ago
OSH, a physician-owned hospital, is looking for a full-time Bundled Services Specialist to work Monday - Friday, 8a - 5p. This position comes with full-time benefits and is eligible for our rewarding discretionary quarterly bonuses! Come be a part of Tulsa's only 5-star rated hospital!
At Oklahoma Surgical Hospital (OSH) we have created a healthcare setting designed to deliver the best combination of cost, quality, and convenience. We work with innovative direct employer contracts, physicians, and third part administrators (TPA’s) to maintain networks that allow employers to operationalize direct contracting that allows them to drastically lower health plan cost. This individual as the Bundled Services Specialist will be responsible for ensuring proper patient intake, billing of services provided and ensure appropriate distribution of funds that align with the Payor's requirements leading to successful claims collections.
Bundled Services Specialist will be responsible for ensuring all accounts are eligible, scheduled, authorized, and reviewed per OSH policies and standards.
Assist revenue cycle team by providing monthly reporting of bundled payer statistics to upper management.
Serves as a resource for providers and patients, answering questions and providing information about procedures or contracts.
Establish and maintain strategic relationships with physicians, employers and TPA’s.
Responsible for all referral requests that are submitted by utilizing online software tools.
Knowledge, Skills & Abilities
Minimum of three (3) year’s experience in healthcare financial setting may be substituted for degree. Minimum of three (3) years job related experience in healthcare required. Knowledge of bundled services, collections, claims follow-up, registration, and reimbursement of claims.
Great oral and written communication skills. Strong self-motivation, good investigative and analytical skills. Excellent critical thinking skills with the ability to make complex decisions and act in situations that are moderately difficult. Must be able to work independently to meet deadlines.
A working knowledge of provider agreements, physician/hospital/ancillary reimbursement methodologies.
Some medical terminology and coding a plus.
Proficiency with Microsoft Office Products. Ability to use spreadsheet (MS Excel), word processing, statistical, and software applications.
Must be able to work on multiple projects concurrently
You would be an excellent candidate if you will thrive in fast-paced, busy work settings. You like to multi-task and enjoy owning more than one project at a time. You are a highly organized and effective teammate that is ready to make a difference in our patient's lives.
Did you know at OSH we are physician owned? Yes! Physicians opened OSH more than 20 years ago because they recognized a need for a hospital in our community that truly focused on the needs of the patient. We at OSH are focused on ensuring our patients have the best experience possible from the moment they enter the facility and throughout every department they encounter. We are looking for patient focused team members to help us continue with our physicians’ original mission and vision of the hospital of exceeding patients’ expectations.
Did you know that at OSH we offer benefits to our team members that includes an insurance plan that covers 100% if you use an OSH or Premier Family Care provider?
Did you know that OSH offers discretionary quarterly bonuses to all full-time and part-time members? This bonus can increase your annual salary by 10-13%!
Did you know that we are Tulsa’s only 5-star rated hospital? Our incredible staff and physicians are committed to making sure our patients are receiving the best care while at our facility!
If you are looking for a new workplace to call home? Come join the OSH team!
**Free fitness center on site for all employees to use.**
OSH and its affiliates are equal opportunity employers.