Qureos Mentor

Muscogee Creek Nation

<div><h3 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h3>
<p>
Education &ndash; Successful completion of an accredited course of study specifically designed for training professional Advanced Practice Practitioners.</p>
<p>
Experience &ndash; Minimum of <b>seven</b> (7) <b>years</b> of clinical experience in an <b>Inpatient or Emergency Department (ED)</b> setting. Previous experience in clinical informatics, HER optimization, or as an Epic Super User is highly preferred.</p>
<p>
Licenses &amp; Certification &ndash; Course of study or program completed by the incumbent must be approved by a nationally recognized professional medical body, must possess current State of Oklahoma License, and CPR certification.</p>
<p>
Knowledge &amp; Skills &ndash;</p>
<div>
<ul><li><p>Professional knowledge of clinical informatics principles, including the ability to translate complex clinical workflows into technical requirements within the Epic EHR system.</p>
</li></ul>
<ul><li><p>Ability to collect, organize, and analyze clinical data to identify gaps in provider efficiency and patient safety.</p>
</li></ul>
<ul><li><p>Skill in collaborating with IT technical teams and clinical leadership to meet the needs of clinical teams in Inpatient, Outpatient, ED, Specialties, Therapies settings.</p>
</li></ul>
<ul><li><p>Ability to provide &quot;at-the-elbow&quot; support and formal training to providers during onboarding and system upgrades.</p>
</li></ul>
<ul><li><p>Expertise in Inpatient or ED clinical processes, including triage, acute care management, and discharge planning.</p>
</li></ul>
<ul><li><p>Advanced communication skills to serve as a liaison between the medical staff and Information Technology departments.</p>
</li></ul>
</div><p>JOB SUMMARY</p>
<p>
The purpose of this position is to serve as a Provider Informaticist, integrating clinical expertise with information technology to enhance the delivery of care at the Muscogee (Creek) Nation Department of Health. The incumbent acts as a primary liaison for providers to optimize EHR workflows, driving efficiency and quality in the Inpatient and ED environments. Incumbent operates under the direct supervision of the Clinical Director of Informatics. This is an exempt position as applicable to the provisions of the FLSA.</p>
<h3 class="jobSectionHeader"><b>
WORK ENVIRONMENT</b></h3>
<p>
Work is performed in an ambulatory and inpatient health care setting. There is common exposure to infectious and communicable diseases, potentially hazardous chemicals, and biohazardous materials. The work may include a certain amount of exposure to hostile and/or emotionally disturbed patients, families, and visitors. Must be aware of all risks involved and be willing to take precautions as requested and required.</p>
<h3 class="jobSectionHeader"><b>
PHYSICAL DEMANDS</b></h3>
<p>
Work requires considerable walking between clinical units, exam rooms, and IT training areas, as well as long periods of moving about the work unit. The role requires the ability to spend extended periods at a computer workstation for analytical tasks.</p>
<h3 class="jobSectionHeader"><b>
ESSENTIAL FUNCTIONS</b></h3>
<p><b>
Satisfactory job performance will be determined by successful execution of the following:</b></p>
<div>
<ul><li><p>Serve as a primary clinical expert for Epic EHR optimization and provider workflow efficiency.</p>
</li></ul>
<ul><li><p>Analyze, design, and validate clinical content including order sets, ClinDoc templates, and SmartForms</p>
</li></ul>
<ul><li><p>Lead provider engagement initiatives to increase the adoption of new technologies and digital tools.</p>
</li></ul>
<ul><li><p>Collaborate with the IT department to troubleshoot and resolve clinical system issues affecting the Inpatient and ED staff.</p>
</li></ul>
<ul><li><p>Provide formal informatics training and orientation for new providers</p>
</li></ul>
<ul><li><p>Participate in Clinic CQI programs and perform informatics-based CQI activities to improve patient outcomes.</p>
</li></ul>
<ul><li><p>Maintain clear and accurate records of system changes, user feedback, and project milestones.</p>
</li></ul>
<ul><li><p>Regular attendance is required (Full-time on-site, 40 hours per week)</p>
</li></ul>
<ul><li><p>Performs other duties as required.</p></li></ul></div></div>

Provider Informaticist - I.T. - Hospital - Tulsa

<div><h3 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h3>
<p>
Education &ndash; High School Diploma or GED equivalent is required.</p>
<p>
Experience &ndash; One (1) year of relevant experience as a dental assistant is recommended but not required.</p>
<p>
Licenses &amp; Certification &ndash;Dental Assistant permit required or have the ability to obtain an Oklahoma State Board of Dentistry assistant permit.</p>
<p>
Knowledge &amp; Skills &ndash;</p>
<div>
<ul><li><p>Knowledge of the proper techniques for caring for all dental equipment and instruments as well as their proper sterilization and storage.</p>
</li></ul>
<ul><li><p>Knowledge of instruments and materials used in routine dental procedures.</p>
</li></ul>
<ul><li><p>Knowledge of dental terminology and record keeping to accurately record dental treatment information.</p>
</li></ul>
<ul><li><p>Knowledge of sterilization techniques.</p>
</li></ul>
<ul><li><p>Ability to pass dental instruments and materials and operate oral suction and retraction instruments while assisting with dental procedures.</p>
</li></ul>
<ul><li><p>Knowledge of steps and techniques required for the placement of sealants on teeth.</p>
</li></ul>
<ul><li><p>Knowledge and skill in tooth isolation techniques required to maintain a dry field for placement of restorations and sealants.</p>
</li></ul>
<ul><li><p>Knowledge of procedures for appointing and routing patients for dental treatment, for ordering supplies and requesting dental laboratory services.</p>
</li></ul>
</div><h3 class="jobSectionHeader"><b>JOB SUMMARY</b></h3>
<p>
The purpose of the position is to provide a variety of clerical, housekeeping, and clinical functions, which aid the dental team in the performance of their assigned duties. This assistant benefits the designated population through providing adequate dental services.</p>
<h3 class="jobSectionHeader"><b>
WORK ENVIRONMENT</b></h3>
<p>
Work is performed in a dental clinic setting located within an ambulatory health care clinic. Work involves exposure to communicable diseases, radiation and flying debris, nitrous oxide, fumes and dust from dental laboratory materials, and intense blue light emissions, therefore mask, lead aprons, protective eye wear and surgical gloves are often needed. Incumbent must be aware of all risks involved and be willing to take precautions as requested and required.</p>
<h3 class="jobSectionHeader"><b>
PHYSICAL DEMANDS</b></h3>
<p>
Work requires constant sitting, standing, walking, and bending in performing duties of the position.</p>
<h3 class="jobSectionHeader"><b>
ESSENTIAL FUNCTIONS</b></h3>
<p><b>
Satisfactory job performance will be determined by successful execution of the following:</b></p>
<div>
<ul><li><p>Provides chairside assistance during all routine dental procedures such as taking and recording blood pressure etc.</p>
</li></ul>
<ul><li><p>Provides receptionist services, schedules and seats dental patients, sets up proper instruments for dental procedures and accurately records treatment rendered on patient records.</p>
</li></ul>
<ul><li><p>Takes preliminary impressions for study models, removes sutures, places surgical gauze following extraction, places and removes rubber dam.</p>
</li></ul>
<ul><li><p>Pours and trims models under direct supervision of the dentist.</p>
</li></ul>
<ul><li><p>Responsible for cleaning, sharpening, packaging, and sterilization procedures on all dental equipment and their proper storage when not in use.</p>
</li></ul>
<ul><li><p>Correctly exposes, processes, and mounts intra and extra‑oral radiographs.</p>
</li></ul>
<ul><li><p>Provides those aspects of dental prophylaxis requiring the use of toothbrush and/or rubber cup for coronal polishing, removal of soft debris and application of topical fluoride treatment with documentation of expanded function certification through the Oklahoma Dental Board.</p>
</li></ul>
<ul><li><p>Places pit and fissure sealants with documentation of expanded function certification through the Oklahoma Dental Board and under direct supervision of the dentist.</p>
</li></ul>
<ul><li><p>Properly stores supplies and replenishes when necessary. Requisitions supplies in absence of delegated assistant.</p>
</li></ul>
<ul><li><p>Relays to patient post treatment instructions as well as motivating and instructing patients in proper home care and disease prevention techniques.</p>
</li></ul>
<ul><li><p>Maintains dental clinic in a clean and orderly manner. Provides routine maintenance on all dental equipment.</p>
</li></ul>
<ul><li><p>Regular attendance is required.</p>
</li></ul>
<ul><li><p>Performs other duties as required.</p></li></ul></div></div>

Dental Assistant - Clinic - Eufaula

<div><h3 class="jobSectionHeader"><b>MINIMUM QUALIFICATIONS</b></h3>
<p>
Education &ndash;High school diploma/GED required. Associate&rsquo;s degree preferred.</p>
<p>
Experience &ndash; Five (5) years Revenue Cycle/Billing Office experience and Medicare billing required.</p>
<p>
Licenses &amp; Certification &ndash;</p>
<p>
Knowledge &amp; Skills &ndash;</p>
<div>
<ul><li><p>Proficient in hospital and/or clinic billing and follow up.</p>
</li></ul>
<ul><li><p>Knowledge of medical terminology.</p>
</li></ul>
<ul><li><p>Demonstrate strong knowledge in the use of ICD-10-CM, CPT, HCPCS, and Revenue Codes.</p>
</li></ul>
<ul><li><p>Experience with payer portals and healthcare billing software.</p>
</li></ul>
<ul><li><p>Extensive knowledge of the major insurance companies&rsquo; billing policies to ensure compliance.</p>
</li></ul>
<ul><li><p>Strong analytical and problem-solving abilities.</p>
</li></ul>
<ul><li><p>Basic knowledge of insurance claim forms.</p>
</li></ul>
<ul><li><p>Working knowledge in specific specialties within the hospital and/or clinic billing areas.</p>
</li></ul>
<ul><li><p>Ability to read, comprehend, and follow oral and written instructions.</p>
</li></ul>
<ul><li><p>Must have the ability to establish and maintain effective working relationships with patients, co-workers and the general public.</p>
</li></ul>
</div><h3 class="jobSectionHeader"><b>JOB SUMMARY</b></h3>
<p>
The Denials Specialist is responsible for reviewing, analyzing, and resolving denied medical claims to ensure proper reimbursement for healthcare services. The Denials Specialist ensures timely and accurate resubmission or appeal of denied claims to optimize reimbursement and minimize revenue loss. This position works closely with payers, billing staff, and clinical teams to identify root causes of denials and implement solutions to prevent future occurrences. This position is in office/person (not remote).</p>
<h3 class="jobSectionHeader"><b>
WORK ENVIRONMENT</b></h3>
<p>
Work is performed in a business office environment. Occasional overtime and travel may be required.</p>
<h3 class="jobSectionHeader"><b>
PHYSICAL DEMANDS</b></h3>
<p>
Required sitting and standing associated with a normal office environment. Manual dexterity is needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.</p>
<h3 class="jobSectionHeader"><b>
ESSENTIAL FUNCTIONS</b></h3>
<p>
Satisfactory job performance will be determined by successful execution of the following:</p>
<div>
<ul><li><p>Review and analysis of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence related to denied claims.</p>
</li></ul>
<ul><li><p>Research denial reasons and take appropriate actions, including correcting claim errors, submitting appeals, or resubmitting claims.</p>
</li></ul>
<ul><li><p>Research denial reasons and take appropriate actions, including correcting claim errors, submitting appeals, or resubmitting claims.</p>
</li></ul>
<ul><li><p>Communicate with insurance companies, patients, and internal departments to resolve outstanding issues.</p>
</li></ul>
<ul><li><p>Maintain accurate documentation of all follow-up activities and appeal efforts in the billing system.</p>
</li></ul>
<ul><li><p>Identify trends and recurring denial patterns; assist with root cause analysis and report findings to management.</p>
</li></ul>
<ul><li><p>Stay up to date on payer policies, coding guidelines, and reimbursement rules.</p>
</li></ul>
<ul><li><p>Collaborate with billing, coding, and compliance teams to improve first-pass claim acceptance rates.</p>
</li></ul>
<ul><li><p>Assist in the development and implementation of denial management workflows and best practices.</p>
</li></ul>
<ul><li><p>Assist with payor enrollment/credentialing.</p>
</li></ul>
<ul><li><p>Keep a positive attitude.</p>
</li></ul>
<ul><li><p>Meet departmental productivity and quality benchmarks.</p>
</li></ul>
<ul><li><p>Participate in educational activities and attend staff meetings when needed.</p>
</li></ul>
<ul><li><p>Regular attendance is required.</p>
</li></ul>
<ul><li><p>Maintain a neat, clean and clutter-free work area always.</p>
</li></ul>
<ul><li><p>Must be well organized, detail oriented and strive to work efficiently and accurately.</p>
</li></ul>
<ul><li><p>Maintain strict confidentiality; adhere to all HIPPA guidelines and regulations.</p>
</li></ul>
<ul><li><p>Adhere to the organizations (department) values and contribute to the fulfillment of its mission.</p>
</li></ul>
<ul><li><p>Perform other duties as assigned.</p></li></ul></div></div>

Claims Denial Specialist - Revenue Cycle - Tulsa

Join Muscogee Creek Nation and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Muscogee Creek Nation

About Company

Provider Informaticist - I.T. - Hospital - Tulsa

Dental Assistant - Clinic - Eufaula

Claims Denial Specialist - Revenue Cycle - Tulsa