Referral Coordinator Job – Oklahoma City, OK

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Xpress Wellness offers a great working environment with state-of-the art urgent care facilities, attractive work schedules, competitive wages and incentives, comprehensive insurance benefits including medical, dental, life, vision and disability. Xpress Wellness offers a 401k retirement plan with generous company match. Helping people get better is our business so taking care of our people is critical to our success.

Overall Responsibility:
The referral coordinator activities will involve, but not limited to, assist patients in obtaining approval for referral, scheduling appointments and managing health insurance issues in a timely manner. As a referral coordinator, you work directly with the patient, patient families, adjustors, insurance companies, provider/specialty offices and others as needed depending on the referral and patient needs. Acts as a liaison for the patient to coordinate and complete the entire referral process.

Key Tasks and Responsibilities:

  • Maintains referral log and verified that patient referrals are completed; verified the receipt of referral notes and/or follows up with provider/specialist office if needed.
  • Ensure complete and accurate registration, including patient demographic and current insurance information.  
  • Obtains insurance pre-certification and authorization required by various insurance plans.  Checks to make sure that procedures are covered by the patient’s insurance and confirm patient out of pocket cost for each visit.
  • Responds to internal and external needs and requests in a positive manner, utilizing the principals of the AIDET model; exceeding their needs and expectations and providing the highest quality service to ensure the best possible outcomes.
  • Strong customer service focus, effective verbal and written communication skills and teamwork.
  • Review details and expectations about the referral with patients. Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).  
  • Scan and file in patients EHR file all results/communication received from the specialists, hospital or provider office.
  • Able to take and follow through with delegated tasks and accountability
  • Follows the Xpress Wellness guidelines related to HIPAA, designed to prevent or detected unauthorized disclosure of PHI and maintains patient confidentiality at all times.
  • Participate in Quality Improvement projects as assigned.
  • In addition to supporting referral activities, also provide general administrative and clerical support to the clinic. These tasks can include answering phone calls and emails, managing schedules, and maintaining electronic or paper files and records. They may also check to make sure doctors and nurses have necessary supplies and patient records prior to appointments.
  • Manages special projects and duties as assigned. This is a safety-sensitive position.
Skills and Attributes:

  • Excellent oral and written skills. Communicates prompt and clearly.
  • Strong organizational skills and attention to detail, deadlines and compliance.
  • Ability to maintain patient confidentiality at all times.
  • Knowledge of guidelines related to the Health Insurance Portability and Accountability Act (HIPAA).
  • Knowledge of basic medical terminology.
  • Ability to react to change productively and handle essential tasks as assigned.
  • Ability to work independently without direct or minimum supervision.
  • Ability to multitask and monitor several projects and accounts on a daily basis.
  • Ability to work under pressure and manage time effectively.
  • Ability to establish and maintain relationships with service providers.
  • Basic computer literacy skills including but not limited to EMR, MS word and MS excel.

Education/Experience:

  • High School Diploma or equivalent
  • 2 years medical office experience or health insurance field preferred but not required

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Revenue Cycle Manager Job – Oklahoma City, OK

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Xpress Wellness offers a great working environment with state-of-the art urgent care facilities, attractive work schedules, competitive wages and incentives, comprehensive insurance benefits including medical, dental, life, vision and disability. Xpress Wellness offers a 401k retirement plan with generous company match. Helping people get better is our business so taking care of our people is critical to our success.

Overall Responsibility:
The Revenue Cycle Manager is responsible for developing from the ground-up, the internal revenue cycle systems and process for a rapidly growing healthcare company in Oklahoma and Kansas (position located in Oklahoma City).  This position will oversee billing accounts and resolving all revenue cycle problems. The individual will manage the billing teams. Assist in the communications with insurance, collections, cash posting, billing transactions with clients, and report creation. The Revenue Cycle Manager helps ensure that these areas run smoothly, and they must detect problems in the billing systems and immediately correct them accordingly.

Key Tasks and Responsibilities:

• Revenue Cycle Manager Overview of Position Manage the revenue cycle operations for an organization that provides healthcare patient services
• Work with Director of Revenue Cycle assisting and developing revenue cycle strategies that maximize process efficiency and reimbursement
• Lead process improvement across the functional teams that contribute to the revenue cycle, such as claims, billing, and payment posting
• Monitor the effectiveness of activities contributing to the revenue cycle to identify and reduce missed revenue opportunities
• Remain knowledgeable of insurance policy and governmental regulations affecting billing practices to ensure organizational compliance
• Recommends changes to policies and establishes procedures that affect immediate organization(s)
• Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends

Skills and Attributes:
• Proficient with MS Office Suite
• Communication – communicates clearly and concisely, verbally and in writing
• Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills – able to work effectively with other employees, management, and external parties
• Must be able to demonstrate a high level of judgment attention to detail, and resourcefulness

Education/Experience:
• 1+ year of experience in Revenue Cycle Management
• 5+ years’ experience with post payment recovery and Accounts Receivable
• 1+ years’ leadership experience
• Must have Urgent Care Experience

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Patient Account Representative Job – Oklahoma City, OK

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Xpress Wellness offers a great working environment with state-of-the art urgent care facilities, attractive work schedules, competitive wages and incentives, comprehensive insurance benefits including medical, dental, life, vision and disability. Xpress Wellness offers a 401k retirement plan with generous company match. Helping people get better is our business so taking care of our people is critical to our success.

Overall Responsibility:
The Patient Account Representative is responsible for collections and follow-up with insurance companies to obtain prompt/accurate payment on accounts. The Patient Account Representative will assist and manage all aspects of patient processing and accounts receivable functions of the organization including billing, charge entry, collections, registration, eligibility, follow-up, payment posting, patient collections and credit balance resolution.

Key Tasks and Responsibilities:

  • Interviewing patients to collect basic demographic information and financial/insurance data.
  • Verify and obtain insurance coverage and benefits via insurance company website, insurance eligibility programs or by telephone for all patients registered for services for all payer types.
  • Preparation, submission and management of claims to all insurance carriers.
  • Maintain knowledge of current billing requirements for all insurance carriers.
  • Track and monitor financial activities of all patients with co-pays, deductibles, financials or liabilities.
  • Re-verify Medicaid monthly and commercial insurances each January. Obtains information regarding insurance benefits to determine patient responsibility.
  • Resolve billing issues of outstanding claims providing information needed such as medical records or denials from other insurance plans and maintain current aging of accounts receivables.
  • Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims.
  • Responsible for maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost.
  • Review and respond timely to requests, including emails, telephone calls, issues, account research and resolution as needed by co-workers, management and clients.
  • Participate in meetings, conference calls and training sessions, including Management Meetings, Team Meetings, as well as any meetings while working telecommute during assigned daily work schedule.
  • May process incoming and outgoing mail.
  • May receive incoming telephone calls and resolve issues communicated.
  • Interfaces with patients, physicians, and others regarding professional billing operations.
  • Assists in reviewing and balancing transaction reports for administration.
  • Reconciles daily receivables reports.
  • Performs various duties as needed in order to successfully fulfill the function of the position.
  • Ability to interpret and apply policies and procedures.
Skills and Attributes:

  • Ability to use 10key by touch
  • Able to type 45 wpm
  • Basic Microsoft Excel and Word knowledge
  • Medical billing knowledge
  • Read EOB’s (Explanations of Benefits)
  • Analytical skills
  • Organizational skills

Education/Experience:

  • High School diploma and/or equivalent combination of education and experience
  • 12 months experience in Medical Billing, Medical Collections or Medical Billing Systems.
  • Experience with traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp.

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Business Development Coordinator Job – Oklahoma City, OK

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Xpress Wellness offers a great working environment with attractive work schedules, competitive wages and incentives, comprehensive insurance benefits for full time employees including medical, dental, life, vision and disability. Xpress Wellness offers a 401k retirement plan with generous company match.
“Helping people get better is our business so taking care of our people is critical to our success.”

Overall Responsibility:
he Business Development Coordinator is responsible for increasing revenue by growing Xpress Wellness Urgent Care’s various service lines including occupational medicine, behavioral health and any new lines of business. This position will serve in developing  new employer relationships for Xpress Wellness across all locations to establish new employer contracts and will transition new business to account management with Area Managers. The Business Development Coordinator consistently articulates Xpress Wellness’ mission, promotes excellence, and strengthens brand identity across strategic markets identified by market assessments.  This position works closely with Marketing (Coordinators) and Operations (Area Managers). This position must reside within the assigned territory.

Key Tasks and Responsibilities: 
1. Ensure all messaging delivered aligns with key business strategies.
2. Facilitate communication between employers, outside referral sources and internal operations.
3. Brainstorm and collaborate with other departments for new ideas, strategies and opportunities to grow employer services participation.
4. Plan, create, and execute meetings with targeted employers and other referral sources.
5. Help develop strategies for current and existing employer products, behavioral health programs and all additional service lines.
6. Manage company brand and reputation. Accepts feedback and constructive criticism in a positive and professional manner.
7. Manages special projects and duties as assigned. This is a safety-sensitive position with leadership, employees, patients/families, and providers.
8. This position does required extensive cold calling and networking to outside referral sources.  
9. Other duties as assigned.
Skills and Attributes:

  • Ability to work independently or in a team without direction
  • Ability to multitask and monitor several projects and accounts on a daily basis
  • Ability to work well under pressure and manage time effectively 
  • Ability to react to change productively and handle essential tasks as assigned 
  • Strong organizational and time management skills  
  • Willingness to travel 75% of the time

Education/Experience:

  • 2-3 years of experience working in a business development position, preferably health care.
  • Bachelor’s Degree in Marketing, Communications, Business, or related area preferred.
  • Experience in a sales or business development field is a plus.

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