Oak Street Health
Oak Street Health is rebuilding healthcare as it should be.
Chicago, IL

Associate, Revenue Cycle at Oak Street Health

| Chicago
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Description

Company: Oak Street Health

Title: Associate, Revenue Cycle

Location: Treehouse

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

For more information, visit www.oakstreethealth.com.

Role Description:

The Revenue Cycle Associate will be involved in the company's day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered.

Core Responsibilities:

  • Ensure payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims
  • Make use of all available tools (websites, electronic medical records, and payer systems) to efficiently identify reasons for non-payments, and follow the necessary steps for the insurance company to adjudicate the claims
  • Work with billing vendor and insurance companies to follow-up on denials of claims, make necessary corrections, and refile the claim to the payer for reimbursement
  • Process and upload checks/electronic payments to billing vendor's portal for cash posting
  • Review/approve patient statements prior to billing vendor mailing
  • Analyze data from billing vendor to identify trends and create reports for management
  • Interact and collaborate with administrative staff within our clinics and our billing vendor to resolve billing questions
  • Extract details from medical records to substantiate billing coding changes
  • Work through payer issues such as denials, underpayments and/or missing payment
  • Communicate effectively using helpdesk ticketing system to reply to clinic inquiries regarding patient statements
  • Contact payers to obtain clarification and/or details regarding incorrect payment/denials
  • Effectively work edits within claim scrubbing software
  • Maintain working knowledge of company policies for collections, adjustments and write-offs
  • Other duties as assigned

What are we looking for?

We're looking for motivated individuals with following qualifications:

  • The ideal candidate must have experience in health care accounts receivable follow-up, exceptional customer service skills, and a good understanding of the claims revenue cycle
  • Knowledge related to reading and interpreting insurance Explanation of Benefits (EOB) statements
  • At least 2 years of working on coding denials, and understanding of NCCI edits preferred
  • Solid understanding of insurance guidelines and principles, including COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
  • Time management skills and the ability to meet deadlines is imperative
  • Proficiency reading proper insurance plan and policy# from insurance ID cards
  • Experience using Multi-payer web portals
  • Strong critical thinking and problem solving skills
  • Adaptable to changing procedures and a growing environment
  • US work authorization
  • Someone who embodies being "Oaky"
  • Associate's degree required, Bachelor's degree preferred
  • Excel/google sheets experienced preferred
  • CPC credential is a plus

What does being "Oaky" look like?

  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

  • Collaborative and energetic culture
  • Fast-paced and innovative environment
  • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.
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Where we are

30 W. Monroe St, Chicago, IL 60603

Technology we use

  • Engineering
  • Product
    • .NETLanguages
    • C#Languages
    • JavascriptLanguages
    • PythonLanguages
    • SqlLanguages
    • TypescriptLanguages
    • RxJSLibraries
    • gRPCLibraries
    • KafkaFrameworks
    • IstioFrameworks
    • KubernetesFrameworks
    • VueJSFrameworks
    • Material DesignFrameworks
    • CypressFrameworks
    • Microsoft SQL ServerDatabases
    • MongoDBDatabases
    • MongoDBDatabases
    • PiwikAnalytics
    • BalsamiqDesign
    • InVisionDesign
    • SketchDesign
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What are Oak Street Health Perks + Benefits

Culture
Friends outside of work
Open door policy
Diversity
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Company Equity
Employee Stock Purchase Plan
Performance Bonus
Child Care & Parental Leave Benefits
Child Care Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Commuter Benefits
Happy Hours
Relocation Assistance
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
Diversity Program
Promote from within
Continuing Education stipend
Time allotted for learning
Customized development tracks

An Insider's view of Oak Street Health

What’s the vibe like in the office?

Everyone here truly believes in what we’re building which creates a collaborative and focused environment where we’re always willing to lend a hand. We love to work hard and also have fun every step of the way. There’s never a shortage of smiles and laughter during our team standups, lunches, happy hours, and company wide huddles.

Kelsey

Product Manager

What's the biggest problem your team is solving?

Traditional healthcare systems tend to leave care teams to figure things out on their own. Here, we apply today’s standards in UX and machine-learning to change that behavior for the better. Gathering direct feedback from our teams, we identify what’s most important to them and help them make clinically sound decisions for our patients’ care.

Mike

Sr. UX Designer

How has your career grown since starting at the company?

OSH has been a tremendous learning experience for my first full time job. My manager has prioritized building a strong foundation of coding skills, which helped me to learn and transition into our new tech stack. I was given learning resources to develop skills on my own and gained knowledge and best practices from collaborating with teammates.

Molly

Software Engineer

What projects are you most excited about?

I am most excited about our disease progression projects. For these projects, we compile unstructured data and combine it with more traditional health data like labs and vital signs to develop models that give providers the opportunity to proactively manage the health of our patients. At Oak Street, you have a direct impact on the patient's care

Brian

Data Scientist

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