INTEGRIS Health

Analyst

• The Revenue Integrity Analyst II ensures accurate revenue capture, payer compliance, and optimized reimbursement for the health system.
• Investigates and analyzes high-impact billing edits, recurring revenue discrepancies, and coding/documentation risks to identify trends, root causes, and corrective actions.
• Leads in-depth charge capture reviews; collaborates with departments to implement improvements in documentation, charging practices, and revenue accuracy.
• Develops, analyzes, and presents dashboards and reports highlighting denial trends, charge lag, missed charges, net revenue performance, and other key revenue metrics.
• Performs cost-benefit analyses for revenue improvement proposals, workflow redesigns, and operational strategies.
• Participates in payer and internal audits; prepares required documentation, supports responses, and assists in corrective action planning.
• Partners with Compliance and CDM teams to monitor risks, implement billing corrections, and support enterprise-wide initiatives.
• Acts as the designated analyst for assigned high-volume or complex service lines, providing specialized monitoring, analytics, and recommendations.
• Leads quarterly reviews with operational leaders, presenting findings, trends, risks, and opportunities for improvement.

Revenue Integrity Analyst II

Accounting Manager

• Responsible for importing and processing of payment files, claim processing, collection of insurance, and/or physician charge entry
• Executes the auditing, denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party and government payers in a timely manner.
• Monitors payer files for accuracy, ensures payer documentation is completed and assists in updating files with pertinent information as necessary.
• Conducts relevant research to assist with resolving files or claims and to stay informed on best practices and policy reforms.
• Conducts internal and external correspondence accurately, clearly, concisely, and professionally while following organizational regulations.
• Works with internal departments and external organizations to resolve complex accounts.
• Maintains data for trending purposes on payer issues, underpayments, banking errors, payment trends and collaborates with team members to make recommendations for improvements and resolving issues.
• Prepares, maintains, assist with, and submits reports as required.
• Regularly makes complex decisions within the scope of the position, and is comfortable working independently.
• Collaborates with team members to continually improve services, and engages in process and quality improvement activities. Provides feedback to management on revenue opportunities and payer standards.
• Maintains thorough knowledge and can communicate effectively state and federal regulations, accreditation/compliance requirements, and INTEGRIS Health policies, including those regarding fraud and abuse, confidentiality, and HIPAA.
• Pinpoints improvement opportunities and contributes to the testing of system modifications; works closely with IT staff and department managers to ensure proper implementation.
• Participates in professional development to enhance job knowledge and performance.
• Conducts relevant research to assist with completing the appeals process and to stay informed on best practices and policy reforms.

Senior Patient Accounting Specialist

• accurately processing healthcare claims according to payer compliance regulations
• ensuring timely claim submission and reimbursement from various third-party payers and or patients
• ensuring proper account documentation in the facility's billing system
• pursuing follow-up efforts on aged accounts
• responsible for importing and processing of payment files, claim processing, collection of insurance or patient balances, physician charge entry
• maintain and manipulate multiple files or work lists as assigned
• communicates directly with Payers to follow-up on outstanding claims to resolve payment variances and achieve timely reimbursement
• provides payers with specific reasons for suspected underpayments and analyzes reasons given by payers for non-payment
• updates and maintains accurate information on each account with action plan for next steps to resolve
• effectively handles all communications, including telephone and email from payers and departments within the health system
• participates in continuous quality improvement efforts on an ongoing basis, establish goals with supervisors and tracking progress
• understands and maintains compliance with HIPAA guidelines when handling patient information
• assists hospital and/or physician patients who come to the patient accounting office during business hours

Patient Accounting Specialist – Physician Billing

General

• serves functions as a liaison between the medical staff, advanced practice professionals, legal counsel and administration with regard to credentialing processes
• develops, manages and administers medical staff and advanced practice professional credentialing processes for hospital privileges
• collaborates with department chairs and chairman of the Credentials Committee to review applicants and privileges requested
• supports Chief Medical Office and Chief Hospital Executive in knowledge of credentialing applications, Medical Staff Bylaws and governance
• ensures compliance with Joint Commission standards, federal and state guidelines and regulatory agency guidelines
• assists with the administration of Physician Orientation/Onboarding for newly appointed Medical Staff appointees
• assists with developing and ensuring compliance with the Medical Staff Bylaws, Rules and Regulations and hospital policies
• reviews and screens highly sensitive credentialing documents
• verifies applicant information and ensure the application process is completed in a timely manner
• organizes and prepares meeting agendas and documents to be presented for Credentialing Committee and/or, Medical Executive Committee, and Medical Quality Committee (facility specific)
• provides appropriate reporting of minutes for Medical Staff Committees to the Board of Directors
• supports the Department Chairs, Credentials Chairman and Medical Staff President in medical staff functions, OPPE/FPPE, Bylaws and Rules and Regulations
• maintains provider privileges and serves as a resource for verification of privileges and affiliation
• maintains accurate and timely rosters of credentialed medical staff with board approval dates and resignation dates
• utilizes credentialing database and mainframe software programs
• accurately maintains the credentialing database
• ability to define problems, collect data, establish facts an draw valid conclusions
• maintains oversight of the practitioner data
• accurately tracks, reports and follows up on the status of credentialing applications
• maintains a strict degree of confidentiality in all areas related to provider credentials, status and provider personal information
• familiar with all credentialing department policies and procedures
• participates in miscellaneous audit projects throughout the year as required
• identifies ways to improve work, processes and improve customer satisfaction
• reports to the Manager or Director as assigned

Medical Staff Specialist

• Responsible for processing complex transactions such as complex services such as global transplant cases, payer audits, payer withholds and managing complex data from multiple sources; reviewing and resolving denied and underpaid/overpaid claims and carrying out the appeals process
• Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence related to denials, appeals/ payments and audits
• Maintains and monitors integrity of the claim development and submission process
• Responsible for importing and processing of payment files, claim processing, collection of insurance, and/or physician charge entry
• Executes the auditing, denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party and government payers in a timely manner
• Monitors payer files for accuracy, ensures payer documentation is completed and assist in updating files with pertinent information as necessary
• Conducts relevant research to assist with resolving files or claims and to stay informed on best practices and policy reforms
• Conducts internal and external correspondence accurately, clearly, concisely, and professionally while following organizational regulations
• Works with internal departments and external organizations to resolve complex accounts
• Maintains data for trending purposes on payer issues, underpayments, banking errors, payment trends and collaborates with team members to make recommendations for improvements and resolving issues
• Prepares, maintains, assist with, and submits reports as required
• Collaborates with team members to continually improve services, and engages in process and quality improvement activities
• Maintains thorough knowledge and can communicate effectively state and federal regulations, accreditation/compliance requirements, and INTEGRIS Health policies, including those regarding fraud and abuse, confidentiality, and HIPAA

Backend Engineer

• Define, maintain, and evolve the enterprise information security reference architecture, standards, patterns, and guardrails that enable secure-by-design and secure-by-default delivery.
• Facilitate alignment between security, business, and IT, and across the democratized IT and clinical technology landscape.
• Engage business, clinical, and IT stakeholders, building and maintaining trusted relationships.
• Lead security architecture across identity and access management, data protection and encryption, network segmentation, cloud, application security, and Zero Trust.
• Analyze threat, technology, and regulatory trends and disruptions, and assess their impact on targeted business and risk-reduction outcomes.
• Translate risk assessments and threat intelligence into architecture decisions and prioritized roadmaps that visualize the future state and trigger long-term planning.
• Ensure security architecture aligns with HIPAA, HITRUST CSF, and other applicable healthcare and privacy regulatory requirements.
• Provide security architecture review and guidance for new initiatives, major projects, cloud adoption, medical device and IoT integration, mergers and acquisitions, and third-party/vendor solutions.
• Support various operating models such as project-centric and product-centric delivery.
• Communicate the value of the security architecture function and its portfolio of services.
• Drive the evolution of the security architecture team’s services and operating model.
• Coach and mentor other architects, engineers, product owners/managers, and business stakeholders to instill security-architecture thinking.

Director, Chief Information Security Architect

Engineering Manager

• Manage and direct work effort of the Security Engineering Team based on Security’s overall road map, the Security Program Manager, and in collaboration with the Director & Chief IT Security Architect and the Director & Chief IT Enterprise Architect.
• Research, design, and implement cyber security solutions for organization that comply with all applicable security policies and standards
• Works with IT and internal and external business partners to ensure that security is factored into the evaluation, selection, installation and configuration process of for all technical applications.
• Lead and mentor staff to adhere to industry best security practices surrounding IT & Security Engineering, roadmap development, architectural analysis, architectural and engineering documentation, and standards development.
• Assists in the review and update of cyber security policies, architectures and standards
• Assists in responding to audits, penetration tests and vulnerability assessments

Manager, Security Engineering

Customer Success Manager

• Oversee all customer relationships and communications
• Ensure overall customer satisfaction and that all SLAs are met
• Help manage all implementations and ensure that all timelines are met
• Answer day-to-day questions and support product implementation activities
• Manage the client’s product once in a production environment
• Report to the ITS Manager of Community Connect

Chaplain

• Visits newly admitted patients and their families to offer support and spiritual assistance
• Responds to all calls for chaplaincy services including crisis calls, requests for patients and families and referrals from hospital staff
• Provides spiritual care and support to patients/families and staff as needed and/or requested
• Collaborates and works cooperatively with physicians, nurse case managers and other members of the interdisciplinary health care team
• Documents the spiritual care provided in the appropriate records
• Reports to assigned Supervisor, Manager, or Director
• This position may have additional or varied physical demand and/or respiratory fit test requirements.
• Normal office conditions.

Manager

• Performs skilled nursing assessments and implements patient specific interventions for plan of care
• Manages/coordinates all aspects of home health services as assigned to patient and obtains authorizations for treatment prior to visit
• Coordinates and monitors all incoming lab results and notifies the appropriate physician of results and provides follow up as requested
• Processes new physician orders and updates appropriate patient team members regarding new physician orders
• Performs admissions, assessments, recertifications, discharges and self-scheduling for all RN visits
• Maintains and submits all required documentation in a timely manner and in accordance with agency and home health policies and procedures
• Required to be available for rotating on call coverage
• Supervises LPNs and Home Health Aides providing patient care to promote quality patient care and outcomes
• Participates in case conference/recertification process and ensures implementation of activities for improved quality of patient care as required by the agency
• Participates in the orientation and skilled development of new employees as assigned and supervises and educates students during their rotation
• The Case Manager Patient Care reports to the Clinical Manager.
• This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.

RN Care Manager

• Performs complex scheduling and registration activities, including handling incoming calls, scheduling patients with required clinical and demographic information, verifying patient data, collecting point-of-service payments, providing preparation instructions, and ensuring proper documentation in accordance with established standards.
• Completes advanced patient access functions such as insurance verification, eligibility review, patient financial responsibility estimation, and authorization requirements using available systems and protocols.
• Manages high call volumes while multitasking in a fast-paced environment, maintaining a professional, courteous, and service-oriented approach with patients, providers, and internal departments.
• Resolves routine patient inquiries and reimbursement questions, ensuring timely and accurate responses.
• Handles inbound and outbound communications with patients, physician offices, and insurance carriers to promptly resolve issues.
• Collects patient payments and follows established financial clearance processes within defined levels of authority.
• Serves as a liaison for complex patient access and account issues, providing guidance and acting as a subject matter expert for Scheduling Specialists.
• Provides training, coaching, and feedback to staff on processes, systems, and payer requirements, while monitoring productivity and work assignments.
• Supports and leads process improvement and continuous quality improvement initiatives, including goal setting, progress tracking, and data preparation for reporting.
• Ensures compliance with performance standards, organizational policies, third-party requirements, and applicable federal and state regulations, including EMTALA and HIPAA.

Senior Scheduling Specialist

• Accurately processing healthcare claims according to payer compliance regulations
• Ensuring timely claim submission and reimbursement from various third-party payers and or patients
• Ensuring proper account documentation in the facility's billing system
• Pursuing follow-up efforts on aged accounts
• Responsible for importing and processing of payment files, claim processing, collection of insurance or patient balances, physician charge entry
• Maintain and manipulate multiple files or work lists as assigned
• Communicates directly with Payers to follow-up on outstanding claims to resolve payment variances and achieve timely reimbursement
• Provides payers with specific reasons for suspected underpayments and analyzes reasons given by payers for non-payment
• Updates and maintains accurate information on each account with action plan for next steps to resolve
• Effectively handles all communications, including telephone and email from payers and departments within the health system
• Participates in continuous quality improvement efforts on an ongoing basis
• Understands and maintains compliance with HIPAA guidelines when handling patient information
• Understands federal and state regulations as well as specific payer requirements and explanations of benefits
• Assists hospital and/or physician patients who come to the patient accounting office during business hours

• Coordinate patient scheduling and registration activities by managing inbound/outbound calls, collecting and verifying patient demographic and clinical information, providing appointment preparation instructions, maintaining documentation standards, and processing point-of-service payments to ensure efficient patient access.
• Perform patient access and financial clearance functions, including insurance verification, coverage eligibility review, patient responsibility estimation, authorization requirements, payment collection, and reimbursement inquiry resolution in accordance with established protocols.
• Deliver exceptional customer service by professionally and courteously communicating with patients, physician offices, insurance carriers, caregivers, and other departments, resolving inquiries and concerns in a timely manner through phone, email, and verbal communication.
• Effectively manage high call volumes and competing priorities in a fast-paced environment while maintaining accuracy, productivity, and service excellence.
• Support departmental and organizational performance by participating in process improvement and continuous quality initiatives, establishing goals, and monitoring progress toward outcomes.
• Ensure compliance with applicable federal and state regulations, including EMTALA and HIPAA, as well as organizational policies, procedures, guidelines, performance standards, and third-party contractual requirements.

Scheduling Specialist

• Manage all aspects of deceased donor transplants, from notification of organ offer to offer acceptance through transplantation.
• Assess the suitability and prepares the potential transplant/organ recipient and live donor for solid organ transplantation.
• Applies recipient and cadaver/live donor selection criteria at time of transplant and coordinates preoperative care for cadaver/live donor and recipient.
• Communicate timely and accurately with transplant surgeons and physicians related to organ offers and with the OPO.
• Notify, schedule, and update all transplants, HLA lab, OPO, and hospital team members through all phases of transplant, donor recovery, pre- transplant admission, OR and anesthesia scheduling and post-transplant.
• Arranges all transportation for organ recovery and/ or organ transport as required.
• Contacts transplant recipients(s) for triage/ assessment of current status with appropriate documentation and report back to the transplant physicians for determination of candidacy.
• Complete all required UNET documentation at time of organ offer, for acceptance and denial of organs and at time of pre- and post-transplant.
• Complete all required notification and documentation required by transplant program and OPTN.
• The Organ Placement Coordinator reports to the Abdominal Transplant Nurse Manager.
• Receive patient phone calls and triage based on program criteria.
• Receive outside physician/hospital calls related to transplant program patients and manage appropriate care per program criteria.
• Assumes shifts as assigned by manager.

Organ Placement Coordinator – Abdominal Transplant Services

• Schedules and confirms departmental procedures in collaboration with appropriate personnel, ensuring alignment with the current hospital physician privilege list
• Reviews and verifies procedure schedules on a daily and ongoing basis to ensure accuracy
• Coordinates the availability of shared equipment with patient care and service areas during the scheduling process
• Effectively manages a high volume of incoming calls and scheduling activity
• Demonstrates strong communication skills when interacting with staff, providers, and departments
• Maintains the ability to multitask and perform efficiently in a high-volume, fast-paced, and high-stress environment