OU Health

ServiceNow

• Perform day-to-day administration of service requests to the ServiceNow team pertaining to creating users, group management, and data management.
• Implement, test, and deploy business rules, technical solutions, such as client scripts, UI pages/actions/policies, scheduled job, import sets and transform maps, notifications.
• Work with system architect to fully understand business functionality, pain points, and areas of improvement.
• Proactively keep ServiceNow skills current to drive platform expansion, adoption and organization initiatives.
• Perform ServiceNow implementation tasks including but not limited to: CMDB.
• Develop clear and concise technical and process documentation.
• Maintain the integrity of the ServiceNow tool across production and non-production environments.
• Understand new ServiceNow features and unused module functionality.
• Maintain an ongoing knowledge of the ServiceNow product, version upgrades and enhancements, new features, etc.
• Assist in the technical solution aspect of ServiceNow implementations specific to design, solution architecture, integrations and functional implementation.
• Identify inefficiencies to ultimately implement areas of automation and development.
• Participate in the upgrade cycle for ServiceNow, including coordination of clones, upgrades and testing (via use of the Automated Test Framework).
• Assist with the design of ServiceNow integrations and work with business partners and technical teams for implementation.

ServiceNow Developer II

Analyst

• Assist in the development, support and functionality roll out of an Electronic Health Record (EHR) system
• Optimize workflow processes through building applications tailored to organizations’ needs
• Provide day-to-day technical support to end-users
• Perform routine maintenance tasks for system stability and security
• Participate in testing and validation of system changes
• Assist in configuring and customizing the EHR system
• Collaborate with cross-functional teams to support EHR initiatives
• Maintain documentation of system configurations and support issues

Epic Billing Application Analyst, Level I

Human Resources

• 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.
• Perform routine maintenance tasks, such as software updates, patches, and upgrades, to ensure the stability and security of the EHR system.
• Participate in 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.
• Assist in configuring and customizing the EHR system to meet the specific needs and workflows of healthcare providers and organizations implementing operationally approved optimizations.
• Collaborate with cross-functional teams, including IT professionals, clinicians, administrators, and vendors, to support EHR initiatives and projects, and facilitate communication and coordination.
• Maintain accurate documentation of system configurations, user procedures, and support issues, contributing to a knowledge base that facilitates efficient problem-solving and knowledge transfer within the team.

EHR Application Analyst, Orders Analyst

Insurance

• Responsible for daily operations of Patient Access
• Liaison between Service Center and facility
• Develop and implement policies and procedures

Manager, Patient Access – Insurance Referrals and Authorizations

Account Manager

• 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.

Senior Patient Account Representative – Revenue Integrity

Counselor

• Review Patient Access Tool and visits in-house patients
• Collect estimated patient portion amounts and communicate with patients
• Generate insurance verification and precertification reports daily
• Assist patients with payment arrangements and charity applications

Financial Counselor

Manager

• Provides leadership for the development and implementation of a quality infrastructure to achieve quality objectives.
• Lead, develop, coach, and effectively manage the team of professionals to ensure deliverables and performance metrics are met.
• Develop team to accomplish results through training, development, performance management and recognition.
• Utilize performance and process improvement, project management and change management methodologies to support operational and clinical quality initiatives.
• Leverage the organization's analytic environment to help guide data driven decision making and inform quality improvement initiatives.
• Cultivate a safe healthcare environment by prompting safe practices, nurturing a just culture and improving processes that detect, mitigate, or prevent harm.
• Promotes a culture of continuous improvement through the coaching and mentorship guidance of best practices.
• Coach, mentor, and support process improvement teams to achieve nation-leading quality and patient safety performance.
• Lead teams/projects and utilizing quality improvement principles and methodologies.
• Establish strong team relationships building trust and open communication regarding quality and patient safety issues and results.
• Supports strategic goals and development of KPIs to contribute to the success of the organization.
• Collaborate and partner with leaders, providers, staff, Patient Safety, Performance Management and Innovation, and Operations to address quality and safety care issues.
• Communicate and network with key teams to develop process improvements in the quality and safety domains.

Manager – Quality Improvement

• Conducts Timely Medical necessity review for patients using nationally accepted criteria
• Communicates with insurance companies and members of the care team as needed
• Present all cases that do not meet Clinical criteria to the Medical Director
• Frequent correspondence with payers to ensure clinical review is sent to payers
• Ensure that the health care services administered to the patients are of the highest quality yet cost-efficient
• Complete continuous review and audit of the patients treatment record
• Use critical thinking skills, clinical expertise, and judgement along with established medical criteria to provide a recommendation of level of care to physician
• Follow HIPPA guidelines for patient privacy
• Review charts to ensure documentation and medical necessity meet Medicare regulations
• Review insurance denials and attempt to get them overturned
• Create reports out of system as needed
• Attend meetings online or in person as required.

Case Manager – Utilization Review Nurse

• Responsible for assisting in the development and evolution of the overall strategy for the Company’s coding operations
• Manages, directs and coordinates the coding activities for the Company
• Plans, assigns and directs the HIM coding and DRG/code validation workflow
• Actively monitors employee performance and rewards or disciplines accordingly
• Addresses complaints and resolves problems
• Ensures complete, accurate, timely and consistent coding and DRG/code validation
• Communicates production coding related issues such as workflow processes, forecasting, scheduling, quality activities, etc.
• Coaches and helps develop team members
• Proactively manages significant issues in coding operations

Admin Manager, Inpatient Coding, Coding Quality

Therapist

• Initiates and coordinates insurance or other carrier pre-certification and prior authorization for patients.
• Provides financial counseling to patients.
• Coordinates with the business office to ensure timely claim and account follow-up.
• Completes the pre-certification process communicating with the patient, physician, insurance company, other financial institutions and the hospital.
• Interviews patient by telephone or in person to gather financial information in order to determine discounts that may be applicable.
• Explains financial responsibilities for services received and payment options to patients and/or insurance or other financial institutes responsible for payment.
• Counsels patients regarding insurance benefits and recommends alternative sources of payment and financial assistance when appropriate.
• Reviews provider and treatment protocols, determines insurance benefits and patient responsibility, establishes payment arrangements with the patient, and documents appropriate practice management system.
• Acts as an advocate for the patient when discussing medical care with the insurance carrier or other financial institute.
• Prepares medical necessity letters for the insurance companies and other financial institutes.
• Receives and processes information and forms from the patient and insurance company.
• Assists patients with obtaining financial resources for oral medication prescriptions by working with pharmaceutical companies and other resources to obtain grants and financial aid for patients in need.
• Obtains prior authorizations from insurance to schedule patient scans and specialty clinic referrals.
• Performs other duties as assigned.

Patient Account Navigator – Chemotherapy & Infusion

• Responsible for timely and accurate pre-registration and insurance verification
• Accurately interprets managed care contracts
• Performs pre-registration and insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services
• Follows scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein
• Contacts physician to resolve issues regarding prior authorization or referral forms
• Assigns plans accurately
• Performs electronic eligibility confirmation when applicable and document results
• Researches Patient Visit History to ensure compliance with payor specific payment window rules
• Completes Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module
• Calculates patient cost share and be prepared to collect via phone or make payment arrangement
• Contacts patient via phone to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment
• Receives and records payments from patient for services scheduled
• Utilizes appropriate communication system to facilitate communication with hospital gatekeeper
• Performs insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility
• Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues
• Utilizes Meditech account notes and Collections System account notes as appropriate to cut and paste benefit and pre-authorization information and to document key information
• Meets/exceeds performance expectations and completes work within the required time frames
• Implements and follows system downtime procedures when necessary
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”

Pre-Registration/Insurance Verification Representative

• Oversees the daily operation of a clinic
• Supervises clinic staff and handles personnel issues
• Manages complaints from all sources including patients and staff
• Assists in budget preparation and ensures spending remains within budget
• Maintains supplies for the clinic and prepares reports on charges and collections
• Provides assistance in scheduling, referrals, and lab requisitions

Senior Clinic Manager – Oncology

• Provide social services to patients and their families for an assigned medical service
• Conduct discharge planning evaluations of patients and/or family members to gather needed information
• Make psychosocial assessments and relate findings to necessary hospital staff
• Counsel patients and other persons regarding diseases, treatments, social or financial situations, emotional stress and/or other problems
• Monitor care to evaluate progress towards goals and institute corrective action if needed
• Provide crisis counseling to patients and families regarding child abuse or neglect, physical abuse, etc. and document these sessions
• Act as a liaison between patients/families and the hospital staff and other agencies
• Assist patients and families with adverse reactions or difficult adjustment to illness, treatment or changes in functional status
• Act as patient advocate for issues related to informed decision making, end-of-life care, realistic goal setting and appropriate resolution of ethical dilemmas
• Assist in discharge planning and referrals to the community for ongoing services
• Assist family and patient with post hospital placement or transfer to a post-acute care facility
• Prepare statistics concerning duties and activities

Social Worker/Care Manager, Levels 1-3

Clinical Operations

• Provides project management support to leadership
• Oversees assigned project staff
• Develops project plans and milestones
• Ensures financial, quality, and service goals are achieved
• Provides support to process improvement efforts
• Maintains effective internal and external communication regarding project management efforts

Project Manager – Clinical Operations

Infrastructure Engineer

• Leads the design and architecture of secure and scalable VSI solutions for the entire enterprise
• Design, development, implementation and support of the VSI environment
• Manages data collection, reporting, and trending for critical devices and components
• Participates in, and leads as needed, technical implementation projects and initiatives
• Assess emerging industry trends; anticipate and develop strategic solutions
• Provides Tier III support for all infrastructure components
• Makes technical decisions regarding the configuration of IT solutions
• Perform data analysis of complex systems and ensuring the ongoing optimization of those systems.
• Coordinates installation of new equipment, technologies and processes for projects.
• Mentor and guides other team members

Systems & Infrastructure Engineer III

• Participate in all aspects of patient processing and accounts receivable functions
• Perform patient scheduling and registration
• Review patient admitting records
• Contact agency representatives to verify coverage
• Conduct charge entry and generate cash totals
• Work with various areas for necessary documentation
• Operate hospital information system terminal for demographic data
• Assist with medical billing resolutions and payment posting including denials
• Prepare daily billing statements and assist in reconciling receivables

Senior Patient Account Representative

Call Center Representative

• Coordinates schedules of patients in and out-patients 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.
• Prepares and enters healthcare providers’ schedules into the computer.
• Coordinates schedules as directed to patient requiring multiple services.
• Greets patients as they come into the clinic for scheduled appointments.
• Accepts payments and writes receipts.
• Totals encounter forms and inspects the form for completeness and accuracy.
• Codes procedures and diagnoses.
• Ensures the resident and faculty signatures are on the encounter form and chart.
• Copies insurance cards and distributes to the appropriate people.
• Prepares encounter forms and billing packets for patients to be seen.
• May prepare and type daily deposits.
• Balances and closes cash box daily.
• Prepares ancillary forms for other services (i.e. x-rays, vascular studies, etc.)
• Prints and faxes physician schedules to offices.
• 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.
• Files patient charts.
• Prepares inactive patient charts for storage.
• Maintains log of charts in storage.
• Secures charts that have been sent to storage that are needed in the clinic.
• Replaces torn charts with new covers.
• Makes up new patient charts and/or packets of information
• Prepares new patient inserts for charts.
• Requests medical records from other facilities.
• Talks to patients about financial accounts.
• Verifies insurance eligibility and primary care physicians for patients.
• 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.
• Dispenses supplies as needed.
• Notifies appropriate person when supplies are low and need to be reordered.
• Types notes and letters for physicians as needed.
• Makes immunization cards as needed.
• Logs mail receipts according to University policy.
• 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.

Senior Patient Services Representative – Call Center

Data Engineer

• The Data Engineer II designs, develops and delivers data pipelines and value-added data assets across the OU Health data ecosystem
• Work closely with data scientists, business intelligence developers, and other colleagues to build or enhance robust systems
• Mentors junior ETS colleagues and emphasizes agility, partnership, and cross functional teamwork
• Incorporate new business and system data into the Data Warehouse while maintaining enterprise best practices and adhering to data governance standards
• Apply business rules to our data as we migrate from source to target using Informatica or scripting language
• Validate data to ensure quality
• Collaborate with colleagues across the enterprise to scope requests
• Extract data from various data sources, validate results, create relevant data visualizations, and share with requester
• Develop dashboards and automate refreshes as appropriate
• Manage initiatives & projects of average complexity and risk
• Provide leadership to assigned delivery teams
• Provide input to prioritized roadmaps, develop work estimates, and ensure successful delivery to support strategic planning and initiatives, improve organizational performance, and advance progress towards OU Health goals
• Work closely with different application and operational teams to understand business needs and align data engineering initiatives accordingly
• Investigates highly technical issues identified from the use of multiple data sources and determines the appropriate use of action for the organization
• Guide, mentor and train Data Engineer I and Business Intelligence Developers on technical skills and best practices
• Ability to work independently and within teams
• Ability to develop and advise on data asset use to provide solutions to organizational needs

Data Engineer II

Senior Patient Account Representative – Pre-Visit Services

• 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
• Performs other duties as assigned

EHR Application Analyst, Epic Lab II-III

• This position may be performed remotely from the following locations within the United States of America: Arkansas, Kansas, Missouri, Oklahoma, and Texas.
• May be filled as an EHR Application Analyst II or III depending on qualifications.
• The EHR Application Analyst II will advise in the development, support and functionality rollout of an Electronic Health Record (EHR) system.
• Responsible for learning the EHR system’s capabilities and applying knowledge of Healthcare Business workflows to advise in the implementation of a system that meets process needs.
• Essential Responsibilities: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
• 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.