Current Career Opportunities at Oaklawn

Job Summary: This position is responsible for maintaining the updates to all 3rd party systems that impact verification and billing of patient accounts. Works closely with the Director of PFS to remedy any breakdowns in the billing process. This role serves as a subject matter expert.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Maintaining all 3rd party systems (AccuReg, Assurance, etc.) to keep current with new edits and updates, working with Registration to educate on changes and new edits.
• Managing lab medical necessity claims, documenting and working with ordering physician offices to educate, rework claims, and report to Denials Committee.
• Working on special projects for payers as they present, monitoring denials, and working with payer reps and billing staff.
• Validate accuracy, compile, and submit self-pay and insurance refunds to Accounts Payable.
• Act as Admin for all payer websites: for example, building Availity connections, creating new users, resetting passwords, performing revalidations when needed.

Minimum Qualifications: 18 years of age. Two (2) years experience in billing or patient financial services experience.

Knowledge, Skills & Abilities: Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change. Previous billing experience preferred.

Working Conditions: Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements: Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.