OU Health

• Participate in patient processing and accounts receivable functions • Billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution • Reconcile daily IDX system receivables reports • Balance monthly transactions and provide summaries to faculty and department administration

Role Description The Ancillary Services Scheduler I performs Patient Access functions with minimal supervision, serving as an advocate and educator for patients while supporting a multidisciplinary care team. This role coordinates and schedules diagnostic tests and procedures, ensuring the correct location and resources are arranged. They obtain and document pre-certification and authorization requirements, accurately enter information into scheduling or registration systems, and verify insurance details to support a smooth patient experience. Essential Responsibilities - Answers telephone promptly and professionally. - Coordinates patient care throughout the continuum of care through collaboration with the multidisciplinary team. - Serves as a resource for care management. - Ensures tests and procedures are scheduled in the correct location with appropriate resources. - Selects accurate insurance carrier plans; notifies the patients or physician office staff of out-of-network carriers or potential benefit reductions. - Communicates testing requirements to patients or physician offices based on scheduling module instructions. - Duplicates any edits made in the scheduling module within the admissions module. - Monitors scheduling reports for the upcoming day to maintain readiness during potential Epic downtime. - Works closely with the physician office staff to ensure that pre-cert/authorization numbers are entered into the scheduling or registration system. - Consistently selects the correct patient medical record number. - Maintains open communication with registration staff for unscheduled patients presenting for services to ensure appropriate testing is performed and times are available. - Uses appropriate tools to communicate with Patient Access and other facility departments as needed. - Receives, maintains, and indexes physician orders per facility standards and guidelines. - Collaborates with internal and external interdisciplinary teams to ensure excellent customer service. - Attends in-service education and completes all required training annually. General Responsibilities - Performs other duties as assigned. Qualifications - High School Diploma or GED required. - 1 or more years of customer service experience required. Radiology or physician office scheduling experience preferred. - No license/certification/registration requirements. Requirements - Communicates clearly and concisely, verbally and in writing. - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. - Works effectively with employees, patients, and external partners. - Demonstrates proficiency in required PC applications. - Understands and adheres to organizational policies, procedures, and systems. - Performs accurate mathematical calculations, reconciles figures, and demonstrates correct grammar, spelling, and transcription. Benefits - Comprehensive benefits package, including PTO. - 401(k) plan. - Medical and dental plans. - Additional benefits designed to meet specific needs both inside and outside of the work environment.

Role Description Under general supervision, the EDI Developer II is responsible for the design, development, deployment and implementation of integrations between Epic and 3rd party applications utilizing an integration engine and Epic Bridges. - Design and build HL7, FHIR, API integrations between 3rd Party applications and Epic. Utilize Corepoint integration engine and Epic Bridges to implement the solution. - Document data flow, vendor support contacts, specifications, custom translations and operational sign off. Reviews vendor interface specifications and develops custom HL7 derivatives. - Work with the EDI team to help diagnose and resolve interface‐related issues, and participate in their projects as needed. - Work with operations and the PMO office to identify EDI solutions for business problems. - Configure API’s and provide interface support. - Collaborate with vendors, internal information technology staff and clinical staff to ensure that interfaces and converted data are tested and implemented to meet specifications. - Analyze, assess, build and maintain interfaces for all data exchange methodologies including HL7, X12, flat files, web services, FHIR, API and more. - Provide advanced troubleshooting for all integration methods. - Meet with the Change Management Board to garner approval for departmental changes. - Meet with the Project Management Office and vendors to manage current projects. - Document data flow, process, logic customizations and other technical documents. - Mentor EDI Developer I and meet with EDI Developer III to implement departmental standards. Qualifications - Bachelor's degree required. - 3-5 years of relevant IT or clinical experience required. - Epic Bridges Certification required upon hire. - Corepoint Integration Engine Certification required within 3 months of class completion. Requirements - IT integrations utilizing variable based logic and coding. - IT troubleshooting skills. - Project management experience. - Experience with Corepoint or other integration engine. - Epic Bridges experience. - Understanding of HL7, X12, FHIR and API data structures. - Understanding of data structures within an Electronic Health Records. - Attention to detail and organization. - Strong communication skills. - Strong relationship building skills. Benefits - Comprehensive benefits package, including PTO. - 401(k). - Medical and dental plans. - Additional benefits designed to meet specific needs both inside and outside of the work environment.

Senior Patient Account Representative Location: Remote, Oklahoma Job Description: Full time job requisition id R0064913 Position Title: Senior Patient Account Representative - Pre-Visit Services/Authorizations Department: Pre-visit Services Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F, Days. Will be required on-site as needed, at least monthly. **The ideal candidate will have strong experience in handling authorizations and referrals, serving as the bridge between insurance companies and services provided for the patients we serve here at OU Health.** General Description: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration. Essential Responsibilities: - Patient scheduling - Patient registration - Review patient admitting records and extracts relevant information - Records patient identification and demographic information in the computerized billing system - Contacts agency representatives to verify type and extent of coverage. - Charge entry - Performs preliminary review of source documents to determine that sufficient data are present for processing - Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer - Batch charges - Generate cash totals - Enter charges - Balances batches by comparing batch proofs to source documents and hash totals - Billing - Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas. - May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information - Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials - Completes processing of all inpatient and outpatient documents received on a daily basis - Assists in resolving department problems with IDX billing - Maintains records of charges, payments, third party charges, etc. - Collection - Answers patient’s questions regarding statements, agency coverage, etc. - Handles correspondence regarding collection activity and records results - Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party - May receive patient payments and/or issue payment receipts - Coding - Record CPT codes on billing form - Record ICD-9 codes on billing form - Follow-up - Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims - May process incoming and outgoing mail - May receive incoming telephone calls and resolve issues communicated - Records results of mail and telephone contacts on the computer billing system - Contacts insurance carriers regarding non-payment and/or improper payment of claims - Reviews denials - Interfaces with patients, physicians, and others regarding professional billing operations and funds - Payment posting - Post receipts to proper patient accounts - Posts denials - Compare batch proofs and source documents for accuracy - Reporting - Assists in reviewing and balancing IDX transaction reports for administration - Reconciles daily IDX receivables reports - Prepares billing statements from statistical data - Credit balance resolution - Review daily billing and accounts receivable credit balance reports - Prepare daily refund check requests - Prepare other daily credit balances other than refunds - Post refund checks to patient accounts - Mail refund checks with supporting documentation General Responsibilities: - Performs other duties as assigned. Minimum Requirements: Education: High School Diploma or GED. Experience: 3-5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required. Licensure/Certifications/Registrations Required: None required. Knowledge, Skills, and Abilities: - Attention to detail - Excellent verbal and written communication skills - Proficient with the use of Microsoft Office tools #cb OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Patient Account Representative Lead - Pre-Visit Services - Authorizations Location: WFH State of Oklahoma Full time Department: Pre-visit Services Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F, Days. Will be required on-site as needed, at least monthly. **The ideal candidate will have leadership experience, as they will be the subject-matter-expert for their small team when it comes to processing authorizations and referrals. Minimum of 3 years in authorizations is preferred.** General Description: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. May reconcile daily IDX system receivables reports. May balance monthly transactions and provide summaries to faculty and department administration. Essential Responsibilities: Patient scheduling Patient registration - Review patient admitting records and extracts relevant information - Records patient identification and demographic information in the computerized billing system - Contacts agency representatives to verify type and extent of coverage. Charge entry - Performs preliminary review of source documents to determine that sufficient data are present for processing - Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer - Batch charges - Generate cash totals - Enter charges - Balances batches by comparing batch proofs to source documents and hash totals Billing - Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas. - May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information - Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials - Completes processing of all inpatient and outpatient documents received on a daily basis - Assists in resolving department problems with IDX billing - Maintains records of charges, payments, third party charges, etc. Collection - Answers patient’s questions regarding statements, agency coverage, etc. - Handles correspondence regarding collection activity and records results - Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party - May receive patient payments and/or issue payment receipts Coding - Record CPT codes on billing forms - Record ICD-9 codes on billing forms Follow-up - Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims - May process incoming and outgoing mail - May receive incoming telephone calls and resolve issues communicated - Records results of mail and telephone contacts on the computer billing system - Contacts insurance carriers regarding non-payment and/or improper payment of claims - Reviews denials - Interfaces with patients, physicians, and others regarding professional billing operations and funds Payment posting - Post receipts to proper patient accounts - Posts denials - Compare batch proofs and source documents for accuracy Reporting - Assists in reviewing and balancing IDX transaction reports for administration - Reconciles daily IDX receivables reports - Prepares billing statements from statistical data Credit balance resolution - Review daily billing and accounts receivable credit balance reports - Prepare daily refund check requests - Prepare other daily credit balances other than refunds - Post refund checks to patient accounts - Mail refund checks with supporting documentation Personnel Supervision. - Leads and trains employees. General Responsibilities: - Performs other duties as assigned. Minimum Requirements: Education: High School Diploma or GED. Experience: At least 5 years of experience in Medical Billing, Medical Collections, Medical Billing Systems (IDX or other billing system) required. Licensure/Registrations/Certifications Required: None required. Knowledge, Skills & Abilities: - Proven ability to manage a team of professionals and lead a departmental function - Excellent verbal and written communication skills - Proficient with the use of Microsoft Office tools #cb OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Role Description This position may be performed remotely from the following locations within the United States of America: Arkansas, Kansas, Missouri, Oklahoma, and Texas. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with OU Health. State locations and specifics are subject to change as our hiring requirements shift. This position may be filled as an EHR Application Analyst II or III depending on individual qualifications including education, experience, and/or certifications. The EHR Application Analyst II will advise in the development, support, and functionality roll out of an Electronic Health Record (EHR) system. The EHR Application Analyst II advises IT team members and assists the organization in optimizing their workflow processes through building applications that are tailored to meet the organizations’ needs. Responsible for learning the EHR system’s capabilities and functional use and apply knowledge of Healthcare Business workflows to advise in the implementation of a system that meets process needs. Essential Responsibilities: - Serve as a primary point of contact for resolving complex technical issues and system errors, utilizing advanced troubleshooting techniques and problem-solving skills to ensure timely resolution and minimal disruption to patient care. - Provide day-to-day technical support to end-users, including troubleshooting issues, answering questions, and resolving system errors to ensure uninterrupted use of the EHR system. - Provide guidance to other team members for and perform routine maintenance tasks, such as software updates, patches, and upgrades, to ensure the stability and security of the EHR system. - Provide guidance in and assist in coordinating testing and validation activities for system changes, enhancements, and upgrades, following pre-defined change management processes to ensure that new features and configurations meet functional requirements and do not introduce unintended consequences or disruptions. - Lead efforts to optimize the performance and usability of the EHR system, leveraging deep knowledge of system functionalities and user workflows to identify opportunities for improvement and efficiency gains. - Coordinate collaborative efforts with cross-functional teams, including IT professionals, clinicians, administrators, and vendors, to support EHR initiatives and projects, and facilitate communication and coordination. - Maintain comprehensive documentation of system configurations, processes, and procedures, and establish knowledge-sharing practices to ensure the availability and accessibility of critical information within the team. - Provide training and mentorship to junior analysts and end-users, sharing knowledge and best practices to enhance team capabilities and promote continuous learning and professional development within the organization. General Responsibilities: - Performs other duties as assigned. Qualifications - Bachelor's Degree required. - 3 - 5 years of applicable IT or healthcare experience required. Epic Implementation experience preferred. - Epic 'Beaker' certification or accreditation required. - Multiple Epic certifications preferred. - Excellent analytical, organization, and verbal communication skills. - Ability to work independently and within teams. - Ability to solve complex problems and understand customer needs. - Strong understanding of healthcare business process and technology. - Strong understanding of healthcare workflows and terminology. - Possesses cross-application integration knowledge. - Strong desktop tool usage including Word, Excel, and PowerPoint. Benefits - PTO - 401(k) - Medical and dental plans - Comprehensive benefits package designed to meet specific needs both inside and outside of the work environment.

Role Description The Patient Services Representative II coordinates schedules of patients in an out-patient clinic and provides clerical assistance toward the smooth operation of the facility. - Schedules patient appointments, either by telephone or in person. - Provides information about clinic operations. - Obtains patient demographics on new patients and updates demographics on established patients. - Answers telephone calls and distributes to the appropriate people. - Coordinates schedules as directed to patients requiring multiple services, communicating with nursing and provider teams as necessary. - Verifies insurance eligibility, secures referrals, and follows up with status of referrals when communicating to patients. - Completes insurance denials and works closely with providers to obtain needed information to file appeals. - Reports out abandon call rate in Tiered Huddles. - Greets patients as they come into the clinic for scheduled appointments. - Accepts payments and writes receipts. - Distributes encounter forms and inspects the form for completeness and accuracy. - Ensures the resident and faculty signatures are on the encounter form and chart. - Copies insurance cards and uploads into the EMR as appropriate. - Balances and closes personal Cash Drawer Reconciliation, daily. - Prepares ancillary forms for other services (i.e. x-rays, vascular services, etc.). - Promotes the organizations Patient Portal for communication between patient and clinic. - Pulls patient charts for appointments or to file lab, x-ray, hospital information or other information into the chart. - Copies medical records for patients and other providers or facilities. - Makes up new patient charts and/or packets of information. - Validates all handouts are within compliance date. - Requests medical records from other facilities. - Talks to patients about financial accounts. - Obtains insurance prior authorization for prescribed services. - Secures referrals to other providers for HMO patients. - Secures referrals from PCPs for HMO patients to be seen in the clinic. - Collects and verifies proof of income in order to determine what sliding scale discount is appropriate, if any. - Monitors and acts on WQs in EMR for Referrals. - Transcribes outside referrals into organizations EMR. - Coordinates referral process for patient access to clinical care. - Dispenses supplies as needed. - Participates in Quality Improvement activities. - Notifies appropriate person when supplies are low and need to be reordered. - Types notes and letters for physicians as needed, via letter or patient portal. - Makes immunization cards as needed. - Sorts and distributes mail. - Communicates with patients of all ages in a professional manner at all times. - Communicates with co-workers and employees in a manner which promotes a highly “team oriented” approach. - Enhances professional growth and development through in-service meetings and education programs. - Maintains patient confidentiality. Qualifications - High School Diploma or GED required. - 3 or more years of experience in customer service, including at least 6 months in a clinical environment, required. Requirements - Advanced verbal and written communication skills. - Advanced customer service skills. - Advanced ability to work effectively with other employees, patients, and external parties. - Advanced proficiency with the use of Microsoft Office tools. - Knowledge of hospital policies and procedures. - Keyboarding skills sufficient to meet the requirements of the position. Benefits - Comprehensive benefits package, including PTO. - 401(k) plan. - Medical and dental plans. - Additional benefits designed to meet specific needs both inside and outside of the work environment.

• Conducts concurrent review of the clinical documentation in the medical record • Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures • Provides daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plans • Responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team • Communicates with physicians regarding missing, unclear or conflicting medical record documentation • Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record • Gathers and analyzes information pertinent to documentation findings and outcomes

Role Description This position may be performed remotely from the following locations within the United States of America: Arkansas, Kansas, Missouri, Oklahoma, and Texas. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with OU Health. State locations and specifics are subject to change as our hiring requirements shift. The EHR Application Analyst II will advise in the development, support, and functionality roll-out of an Electronic Health Record (EHR) system. The EHR Application Analyst II advises IT team members and assists the organization in optimizing their workflow processes through building applications that are tailored to meet the organizations’ needs. Responsible for learning the EHR system’s capabilities and functional use and applying knowledge of Healthcare Business workflows to advise in the implementation of a system that meets process needs. Essential Responsibilities: - Serve as a primary point of contact for resolving complex technical issues and system errors, utilizing advanced troubleshooting techniques and problem-solving skills to ensure timely resolution and minimal disruption to patient care. - Provide day-to-day technical support to end-users, including troubleshooting issues, answering questions, and resolving system errors to ensure uninterrupted use of the EHR system. - Provide guidance to other team members and perform routine maintenance tasks, such as software updates, patches, and upgrades, to ensure the stability and security of the EHR system. - Provide guidance in and assist in coordinating testing and validation activities for system changes, enhancements, and upgrades, following pre-defined change management processes to ensure that new features and configurations meet functional requirements and do not introduce unintended consequences or disruptions. - Lead efforts to optimize the performance and usability of the EHR system, leveraging deep knowledge of system functionalities and user workflows to identify opportunities for improvement and efficiency gains. - Coordinate collaborative efforts with cross-functional teams, including IT professionals, clinicians, administrators, and vendors, to support EHR initiatives and projects, and facilitate communication and coordination. - Maintain comprehensive documentation of system configurations, processes, and procedures, and establish knowledge-sharing practices to ensure the availability and accessibility of critical information within the team. - Provide training and mentorship to junior analysts and end-users, sharing knowledge and best practices to enhance team capabilities and promote continuous learning and professional development within the organization. General Responsibilities: - Performs other duties as assigned. Qualifications - Bachelor's Degree required. - 3 - 5 years of applicable IT or healthcare experience required. Epic Implementation experience preferred. - Epic certification in specified area required. - Multiple Epic certifications preferred. Requirements - Excellent analytical, organization, and verbal communication skills. - Ability to work independently and within teams. - Ability to solve complex problems and understand customer needs. - Strong understanding of healthcare business process and technology. - Strong understanding of healthcare workflows and terminology. - Possesses cross-application integration knowledge. - Strong desktop tool usage including Word, Excel, and PowerPoint. Benefits - Comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. - Designed to meet your specific needs both inside and outside of the work environment, creating peace of mind for you and your family.

Role Description New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Looking for a coding team to love at OU Health? This is it! While this role is specifically searching for an experienced Neurosurgery coder, we also cover multiple specialties so there's opportunities to learn and grow. 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. The ideal candidate would have multiple years of neurosurgery specific and/or teaching hospital or trauma center coding experience (coding knowledge in other specialties is a big plus). Epic and Encoder Pro experience preferred. General Description: Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes. Performs coding and/or code validation across OU Health. Applies all appropriate coding guidelines and criteria for code selections. Essential Responsibilities: - Using ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes for the following patient types: - Neurosurgery (PRIMARY) - Same day surgery (SDC) - Observation (OBV) - Wound Care - Outpatient Cardiac Cath - Assigns, validates, and/or edits procedure categories, modifiers (when applicable) - Maintains or exceeds established productivity standards - Maintains or exceeds established accuracy standards - Initiates, validates, and/or edits physician queries in compliance with Company policy where appropriate - Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to ensure coding knowledge and skills remain current - Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes - Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes - Meets all educational requirements as stated in the current Company policy - Only as needed, may also assign, validate, and/or edit codes for the following patient types: - Emergency department (ED) - Recurring (RCR) - Clinical (CLI) records, and/or - Provider Office Visit (POV) - Performs other duties as assigned Qualifications - High School Diploma or GED required. Associate's or Bachelor’s degree in HIM/HIT preferred. - 3-5 years of experience in acute care observation and/or same day surgery hospital outpatient coding required. Requirements - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), NHA CBCS or equivalent coding certification from AHIMA or AAPC required. Knowledge, Skills and Abilities - Coding Technical Skills - ICD-10-CM, HCPCS/CPT-4, and APCs. - Analytical Skills - effective evaluation, synthesis and use of information gathered. - Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. - Communication - communicates clearly and concisely. - Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. - PC Skills - demonstrates proficiency in Microsoft Office applications and others as required. - Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. - Work Independently - is self-supporting; not needing to rely on others to complete a job. Benefits - Comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. - A total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.