Coding Specialist Job – Oklahoma City, OK

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Xpress Wellness Urgent Care is on a mission to change the way healthcare is delivered in the Urgent Care setting. As a growth oriented organization, Xpress Wellness Urgent Care is dedicated to creating one of the most rewarding and positive work environments for its entire team. We are seeking employees who have a strong work ethic, drawn to create a positive impact in the healthcare industry, and have ambition to grow with an organization that is transforming Oklahoma and beyond. Our employment opportunities include competitive compensation, bonus potential, career ladder opportunities, and exceptional benefits and retirement. Every role has an opportunity to shine, and we are seeking candidates for our roles that exemplify hard work, efficiency, optimal communication, responsibility, and dedication. Whether you are seeking an entry-level role or a leadership role, we want to invest in your growth and ensure we are producing results at the highest level for both our community and your professional growth.

Overall Responsibility:
The Certified Coding Specialist is responsible for abstraction or accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all system policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD10 Coding Guidelines.

Key Tasks and Responsibilities:

  • Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps.
  • Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT and ICD-10 codes to the electronic health record. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
  • Consults with physicians/ providers as needed to clarify any documentation in the record that is inadequate or unclear for coding purposes. Provides education around documentation improvement for maximum patient care.
  • Assists physicians/providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Identifies opportunities for education and communicates trends to leaders.
  • Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors.
  • Work with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers.
  • Providing guidance on billing/coding discrepancies, questions and issues to providers and customers.
  • 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.
  • Ability to interpret and apply policies and procedures.
  • Performs various duties as needed in order to successfully fulfill the function of the position.
Skills and Attributes:

  • Knowledge of CMS rules and regulations (preferred)
  • Knowledge of CPT (including Evaluation and Management), ICD-10 diagnosis and procedural coding, and HCPCS coding. (preferred)
  • Interpersonal teamwork skills.
  • Basic Microsoft Excel and Word knowledge
  • Medical billing knowledge
  • Analytical skills
  • Organizational skills

Education/Experience:

  • High school diploma or equivalent
  • Minimum 1 year coding experience and cerification required.
  • Appropriate Coding Credential: CCS for Inpatient and CCS, CCS-P, CPC, or CPC-H for Outpatient. RHIA or RHIT certification (preferred)
  • Rural Health Clinic coding experience preferred

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Patient Account Representative III Job – Oklahoma City, OK

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Now Hiring: Patient Account Representative III

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 III is responsible for collections and follow-up with insurance companies to obtain prompt/accurate payment on accounts. The Patient Account Representative III 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.

Patient Account Representative III 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.
Patient Account Representative III 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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Accounts Receivable 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 Accounts Receivable 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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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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