Patient Services Representative Specialist
CommUnityCare · Tulsa, OK
Job description
Overview **CENTRAL TEXAS ONLY** In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for serving as the initial point of contact for new and established CommUnityCare patients. Functions include appointment scheduling (medical (primary care and specialty), dental and behavioral health), providing information about the status of patient prescriptions, serving as a single point-of-contact for community providers serving CommUnityCare patients, and relaying messages to clinic staff as needed. Responsibilities Essential Duties: • Provide exceptional customer service to all patients, including but not limited to, scheduling and confirming appointments, using a multiline phone, and performing data entry into the EPIC Electronic Practice Management (EPM) system. • Accurately and promptly schedule, reschedule, and cancel physician patient appointments for the convenience of the patient and/or their representative. • Maximize CommUnityCare resources through efficient scheduling practices. • Appoint and know protocols/practices for CUC specialty clinics. Use independent judgement combined with protocols to appoint a variety of specialty clinics across the organization. • Interview new patients and/or their representative to identify the proper match with a CommUnityCare clinic and primary care provider (PCP). Gather patient demographic and insurance information to begin the scheduling process. • Identify urgent scheduling needs and prioritize them with the appropriate clinic. • Resolve patient inquiries, including explanation of: • Benefits and eligibility information • Billing and payment options • PCP selection • Specialty clinic protocols and procedures • Authorization for treatment • Facilitate connection to financial screening services. • Perform other duties as assigned. • Ensure a positive patient experience through professional interaction with patients and proper phone greeting etiquette. Maintain strict confidentiality of personal health information (PHI). • Maintain patient experience metrics (including talk time, wrap up time, call abandonment, wait time between incoming calls and wait time before call is answered) below targeted levels. • Obtain satisfactory scores on PNC-related items on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home (PCMH) and any other survey tool. • Schedule appointments accurately and efficiently, using established guidelines for open access and load leveling. • Understand intricacies of specialty appointing, protocols, and appoint to a variety of specialty procedure schedules. • Follow standardized patient scheduling practices, utilizing telephone scripts as provided. • Maintain a positive and flexible attitude, cooperate and work collaboratively to help others. • Embrace diversity throughout the workplace with patients, their families, and co-workers by making a genuine effort to understand the needs of others. • Collaborate with all departments and divisions of CommUnityCare to provide patient-centered care. • Follow the CommUnityCare Code of Conduct and exhibit CommUnityCare Core Values at all times Knowledge/Skills/Abilities: • Knowledge of appointment scheduling and insurance verification procedures. • Minimum 6 months experience appointing primary care for CommUnityCare • Must meet or exceed metric evaluation scores • Ability to implement Open Access principles, including load leveling. • Strong customer service skills, including the ability to resolve patient complaints or refer them appropriately to the manager/supervisor. • Working knowledge of the EPIC EPM/EMR Systems and standard Microsoft Office tools, including Outlook, Word, and Excel. • Bilingual (English/Spanish) strongly preferred • Ability to multitask while working in a fast-paced environment. Qualifications MINIMUM EDUCATION: High school diploma or equivalent. MINIMUM EXPERIENCE: • Minimum of 1 year previous experience in a medical or call-center setting required. • Previous scheduling, registration, billing, or administrative assistant experience preferred
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" Licensed Psychiatric Nurse Practitioner Wage: Up to $199/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. It's all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients. About you • You're a fully licensed psychiatric nurse practitioner with your DEA or CDS number, ANCC or AANP board certification, a valid NPI number and malpractice insurance. • You're looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. Why partner with Headway? As an independent provider with Headway, you'll gain access to: • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. • Predictable bi-weekly payments: Receive reliable payouts directly from Headway. • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. • Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes • This is a 1099 independent contractor role. You'll have full autonomy over your practice, including setting your hours and managing your caseload. • At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation's largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We'll take care of the rest.
Casino Services Agent - Part Time - Tulsa
Osage Casino · Tulsa, OK
Overview Responsible for distributing money to gaming guests via check cashing, credit card advances, conversion of chips and coins, and gaming tickets into currency. Responsible for providing support and service to club members and other casino visitors to ensure maximum guest satisfaction. Responsible for promoting the success of the Club Osage, by assisting guests through the membership process, and explaining the benefits of membership and details of on-going promotions and events. Protects company assets while dealing with the public in an efficient and courteousmanner This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive. MINIMUM QUALIFICATIONS: • Must be 18 years of age or older. • High School Diploma/GED • Prior cash handling experience required • Gaming, Hospitality or Customer Service industry experience preferred • Previous direct customer service experience required • Required to pass a pre-employment drug screening and obtain and maintain a gaming license issued from the Osage Nation. • Required to maintain a valid Driver's License. • Required to provide documents to show the applicant is eligible to work in the United States. • Osage, Native American, and Veteran preference shall apply to all positions at Osage Casinos. • Applicants must be able to perform all essential functions of job duties with or without reasonable accommodation. Responsibilities COMMUNICATION: • Makes efforts to keep informed of company information and communications by reviewing property bulletin boards, digital signage, and company newsletter. • Effectively communicates concerns and information to supervisor and listens to communication from supervisor. • Effectively relates ideas for improvements to supervisor and management in accordance with chain of command. • Makes credit inquiries, performs credit checks and other related functions necessary to process new check cashing applications. • Performs all other related and compatible duties as assigned GUEST SERVICE: • Provides excellent internal and external guest services, treating internal and external guests with courtesy and consideration at all times. • Cooperates and communicates with all fellow employees, always exhibiting mutual respect and consistently projecting a positive, helpful image/attitude. • Maintains a working knowledge of facilities as well as special events on property in order to advise guests of the same whenever possible. • Provides directions, assistance, and/or information as may be required to ensure guest satisfaction. • Resolves guest disputes in accordance with company expectations or contacts the senior supervisor who may be able to solve the issue. REGULATORY COMPLIANCE: • Maintains excellent working relationships with other Company staff and all applicable regulatory commissions and other agencies as may be applicable to ensure compliance. • Performs all duties in accordance with company core values, objectives of the Osage Nation, internal policies and procedures, as well, as applicable laws and gaming regulations, including but not limited to, the state-tribal compact, IGRA, MICS, ONGR, the Bank Secrecy Act, Office of Foreign Asset Control, USA Patriot Act and Privacy Act. • Accurately balances assigned bank. • Held accountable, to a higher degree, for the accuracy and thoroughness of departmental records and reports. • Adheres to all processes and procedures presented in the Casino Services Attendant Guidelines and standard operating procedures manual. • Participates in the maintenance of supporting cash receipts documentation and accumulation of information for daily and monthly journal entries. • Maintains a clean player tracking database. • Routinely inspects stock of printed material, and notifies management when supplies are low. • Complete all gaming forms and reports. Qualifications KNOWLEDGE, SKILLS, AND ABILITIES: • Requires knowledge, skills, and experience in accurately handling various forms of cash transactions. • Ten-key skills required. • Ability to balance a high volume of currency on a consistent basis. • Ability to read, write, speak and understand the English language. • Ability to read and interpret simple documents, such as written work instructions, interpret system or procedure manuals, labels and safety warnings. • Ability to read Company newsletters, work instructions, and departmental schedules. • Ability to perform basic mathematical computations (add, subtract, multiply, divide in all units of measure, including whole numbers, common fractions, and decimals.) • Ability to protect the Company's value by keeping information confidential. • Ability to perform assigned tasks under frequent supervision. • Ability to follow written and verbal instructions. • Ability to establish and maintain positive relationships with managerial staff, co-workers, guests, and the general public. Work well alone or within a team. • Oral and written communication skills required along with the ability to prepare written documents and complete reports. • Basic MS Office skills required with intermediate ability to use Excel preferred. Basic skills and abilities to work with personal computers and/or cash registers. • Ability to sign up guests and issue Club Osage cards to eligible guests using a computerized player tracking system. • Ability to track, verify and issue rewards for guests when appropriate level of play has been established. • Ability to see problems and avoid situations that could be deemed illegal or represent a safety hazard to fellow employees or guests. • Ability to respond to inquiries or complaints from employees, guests, regulatory agencies, and others. • Ability to travel locally or between properties as needed. • Ability to maintain physical condition and stamina appropriate to performance of assigned duties. • Ability to update job knowledge by participating in educational opportunities; attending expos or conventions; and developing or maintaining professional networks. • May be required to prepare detailed daily, weekly, and monthly operating reports as required by the reporting senior. • Reconcile all transactions in the computer at the end of each shift. • Verify amounts of loose coins and strapped currency. 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Utilization Management Nurse (84124)
Regency Integrated Health Services · Tulsa, OK
Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the medical appropriateness of inpatient and outpatient services by evaluating medical guidelines, benefit determination and compliance with state mandated regulations. Essential Functions • Perform concurrent, retroactive and pre-service authorization reviews for inpatient and outpatient services. • Follow and maintain compliance with CMS requirements, may include after-hours, holiday and weekend coverage. • Collaborate with staff, physicians, care/service coordinators, and medical directors to coordinate and provide the level of care necessary to meet member's health need. Qualifications Location Requirements This position is remote but requires the employee to live within our service area, which can include any of the following areas within Texas: Rio Grande Valley, DFW, greater Austin, greater Houston, greater San Antonio, Coastal Bend, or Laredo. Educational/Training Requirements • Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience. • Payor Utilization Management: 3 years recommended experience • Proficiency with Microsoft Office applications, specifically Word, Excel, and Outlook • Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria. Licensing Requirements • Current unencumbered LVN or RN license in Texas or compact license. Experience Requirements • 2+ years Utilization management experience with a health insurance company (managed care/payer experience required). • UM for Medicare Advantage, Managed Medicaid, Dual SNP Lines of Business, on the payer side. • 5+ years of acute clinical experience. • The ability to effect change, perform critical analyses, promote positive outcomes, and facilitate empowerment for members/families. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.