Saint Francis Health System

Monitor patient work queues for pre-registration and insurance verification, ensuring accurate estimate creation and timely communication with patients while maintaining productivity and compliance with documentation standards.

Role Description The Revenue Cycle Patient Account Representative I supports Saint Francis Health System (SFHS) by ensuring patients experience clear, accurate, and timely resolution of their accounts. This role plays a key role in reducing financial stress for patients by helping ensure their insurance claims are processed correctly, questions are answered promptly, and issues are resolved efficiently. - Helps patients navigate the billing process with transparency and compassion. - Communication occurs through Epic with physician offices and clinical areas, as well as through payer portals or telephone calls with third-party carriers. - Prevents delays and ensures patients receive accurate and fair account outcomes. Qualifications - High School diploma or GED. - 1 year of experience in a health insurance field preferred. Requirements - Knowledge of Microsoft 365 and other applicable software. - Knowledge of all general office equipment. - Basic knowledge of healthcare and insurance terminology. - Working knowledge of medical billing and insurance follow-up processes. - Excellent communication skills, both written and verbal. - Effective interpersonal, problem solving, and customer service skills. - Strong financial, analytical, and decision-making skills. - Excellent organizational skills. - Strong ability to work in a team and professional environment. - Ability to organize and prioritize work and be detail oriented. - Ability to work independently and collaboratively in a fast-paced environment. - Ability to navigate insurance websites to access patients' eligibility and payment information. Company Description

Role Description The talent partner is responsible for delivering all facets of recruitment success for assigned units. This position delivers high quality candidates and creates a positive candidate and hiring manager experience through proactive communication and service. Qualifications - Bachelor's degree in human resource management or closely related field. - At least one year of related experience. Requirements - Strong interpersonal, written and oral communication skills. - Ability to organize and prioritize work in an effective and efficient manner. - Strong knowledge of general human resources practices, including state and federal regulations related to employment. - Working knowledge of effective recruiting/marketing strategies. - Working knowledge of applicant tracking systems. - Working knowledge of electronic reporting and communication systems. Benefits - EOE Protected Veterans/Disability Company Description This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

• Codes ER's, outpatients, outpatients surgeries, observations and inpatients. • Works CCI/medical necessity edits as needed. • Monitors unbilled for all patient types coded on a day-to-day basis. • Maintains quality equal to or greater than 95%. • Maintains productivity equal to or greater than 95%. • Completes continuing education as required.

Title: Patient Access Scheduler I (Diagnostic) Location: Remote - OK time type Full time job requisition id JR28992 Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days *3-6 months of in-person training required; must live a commutable distance from Tulsa, OK to be considered Schedule- Monday-Friday 8:30am-5:00pm -Previous scheduling/insurance and EPIC experience preferred Job Summary: The Patient Access Scheduler I (Diagnostic) coordinates scheduling of multiple outpatient diagnostic appointments across the health system. This role delivers a positive customer service experience by scheduling appointments effectively and efficiently for patients. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: None. Work Experience: Minimum 1 year of experience in a healthcare environment such as hospital, physician office or imaging facility. Clerical, customer service/support, data entry or call center environment experience, preferred. Knowledge, Skills and Abilities: Excellent communication, telephone, customer relations and organizational skills. Ability to work in a fast-paced environment. Working knowledge of hospital diagnostic departments. Working understanding of insurance plans. Knowledge of medical terminology. Working knowledge of basic business office equipment. Ability to perform telephone activities concurrent with computer activities. Essential Functions and Responsibilities: Coordinates accurate scheduling of multiple outpatient diagnostic appointments for locations and departments across the health system, schedules appointments based on availability of resources and in a manner that reduces delay of services. Accepts and prioritizes incoming phone calls; triages information for urgent procedure requests and sends critical requests for supplies and services to appropriate personnel to enable early ordering and to complete pre-authorization processes. Obtains necessary and required information defined by department procedures and provides instructions, as directed. Schedules correct procedures and enters orders accurately and efficiently into the clinical system meeting established productivity standards; accurately identifies patient in Master Patient Index system and assigns correct Medical Record and Account Number. Serves as liaison and communication point for all entities, staff, offices, other SFHS departments, and employees in an effort to provide a single point of contact for coordination of scheduling functions. Communicates changes to schedules early and accurately to maximize scheduling efficiency. Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established. Working Relationships: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Central Scheduling - Yale Campus Location: Virtual Office, Oklahoma 73105 EOE Protected Veterans/Disability

• Provides advanced support to the health system’s billing compliance program by performing complex audits. • Leads data analytics activities and guides prevention and monitoring strategies. • Serves as a subject matter expert on billing, charging, and coding compliance. • Collaborates with operational leaders, compliance leadership, and clinical departments. • Identifies systemic risk areas and supports investigations. • Develops training content and advises on regulatory changes.

• Collaborates with clinical departments, coding, finance, and IT to resolve discrepancies • Partners with charge generating departments to ensure accurate, timely charge capture • Conducts routine reviews of charges and documentation to identify missed revenue • Assists clinical and operational teams with the resolution of charge discrepancies and denials related to charge capture • Partners with clinical and operational areas to evaluate new services or procedural updates • Conducts root cause analysis, providing data-driven recommendations for revenue cycle departments • Provides basic education to departments regarding charge capture expectations, regulatory updates, and revenue reconciliation.

Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Job Summary: Identifies, processes, and documents laboratory specimens for the purpose of assessing and monitoring patient status. Minimum Education: Baccalaureate Degree in Medical Technology or in a related biological/chemical science from an accredited college or university. Licensure, Registration and/or Certification: Must have passed national certification exam as a laboratory scientist that is accredited by an approved agency. Work Experience: 1 year lab experience with high complexity testing. Knowledge, Skills and Abilities: PC skills needed for efficient computer utilization. Effective interpersonal, written and oral communication skills. Ability to organize work in an effective and efficient manner. Ability to be detail oriented in the examination of clinical and numerical data. Essential Functions and Responsibilities: Develop and establish procedures for collecting, processing and analyzing biological specimens and other substances. Performs and reports analytical tests, integrating and relating data generated by various clinical laboratory departments while making decisions regarding possible discrepancies. Confirm abnormal results, verifying, executing and making decisions based on quality control procedures, and developing solutions to problems concerning the generation of laboratory data. Establish and perform preventive and corrective maintenance of equipment as well as identifying appropriate sources for repairs. Supports laboratory goals by demonstrating teamwork, service excellence, adhering to established guidelines and policies and looking for ways to improve processes. Works with medical laboratory science students during educational laboratory activities. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationships: Works directly with patients and/or customers. Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Genetics Laboratory - Yale Campus Location: Virtual Office, Oklahoma 73105 Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana. EOE Protected Veterans/Disability

• Coordinate Epic update activities • Install and maintain the Epic client system servers and applications • Monitor servers performance and troubleshoot issues • Apply hot fixes, security updates, and service packs • Manage security and maintain production environments • Engage in capacity planning exercises • Write fundamental documentation in a clear manner • Be available for support 24/7

Title: Denials & Appeals Specialist (RN) Location: Remote - OK locations Remote - OK time type Full time Job Description: Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days Utilization Review Management-Fully Remote with In-Person Training Required Monday-Friday-7:30am-4pm, Utilization Management and Denials/Appeals experience preferred. Job Summary: The Denials & Appeals Specialist (RN) analyzes medical necessity denials, drafts detailed appeal letters, and communicates denial & appeal trends. This role communicates and works with payers in an effort to overturn medical necessity denials. Minimum Education: Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing, and holds or is entitled to hold a diploma or degree therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 1 year of Utilization Review (UR) experience. Previous denials & appeals experience, preferred. Knowledge, Skills and Abilities: Superior interpersonal and communication skills, both written and verbal that present clear and concise information to a diverse audience. Demonstrated proficiency in computer applications relevant to role. Ability to multi-task in a fast-paced environment while maintaining attention to detail. Strong knowledge of utilization management, case management, and appeals processes. Working knowledge of clinical guidelines, medical necessity criteria, and payer policies. Essential Functions and Responsibilities: Reviews clinical documentation and insurance denial letters to determine the validity of denied claims and identifies appropriate appeal strategies. Assesses appropriateness of inpatient admission status bases on presenting symptoms, treatment provided, and severity of illness. Drafts appeal letters using clinical documentation and established medical necessity to advocate for appropriate reimbursement. Serves as a subject matter expert on denial management, providing insights and recommendations to leadership based on trend analysis and payer behavior. Communicates directly with payers to clarify denial reasons, request overturns, and advocate for reimbursement of medically necessary services. Applies current knowledge of healthcare laws and payer rules to guide appeal strategy and ensures compliant practices. Decision Making: Independent judgement in making decisions involving non-routine problems under general supervision. Working Relationship: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job, and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties. Utilization Review Management - Yale Campus Location: Virtual Office, Oklahoma 73105 EOE Protected Veterans/Disability