Healthcare Claims & Reimbursement Specialist

INTEGRIS Health; Oklahoma City (OK); On-site; USD 34,000 - 52,000; Full time

Job summary

INTEGRIS Health Corporate Office in Oklahoma City, OK, is hiring a day shift (6a-6p), full-time Patient Accounting Specialist I. You will process healthcare claims, ensure timely submission and reimbursement, and maintain accurate account documentation in the billing system.

You will follow up with payers, address underpayments, adhere to HIPAA and payer requirements, and support hospital and physician patients during business hours. INTEGRIS Health is an Equal Opportunity Employer.

Qualifications

• 1 year of insurance, billing and collections or related business environment.
• 1100+ Career Tech program in medical billing/coding or accounting in lieu of experience
• College coursework in related field or Healthcare Certification (CRCR, CRCS, CHAA) preferred
• Previous experience with medical terminology, basic ICD10 and CPT coding preferred
• Previous experience using Microsoft Office programs
• Previous experience in one of the following: billing, insurance resolution follow-up, cash posting, or customer service preferred
• Must be able to communicate effectively in English (verbal/written)

Responsibilities

• 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.
• Understands federal and state regulations as, well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies.
• Assists hospital and/or physician patients who come to the patient accounting office during business hours.
• Reports to the manager or supervisor of the department as assigned.
• 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.
• Office environment with no known exposures to hazardous material.
• All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Skills

English communication

HIPAA compliance

Education

1 year experience in insurance/billing/collections

Career Tech program in medical billing/coding or accounting

College coursework or Healthcare Certification (CRCR, CRCS, CHAA)

Medical terminology and ICD-10/CPT knowledge

Microsoft Office proficiency

Billing/insurance follow-up or cash posting experience

English communication (verbal/written)

Tools

Microsoft Office

Job description

INTEGRIS Health Corporate Office in Oklahoma City, OK, is hiring a day shift (6a-6p), full-time Patient Accounting Specialist I. You will process healthcare claims, ensure timely submission and reimbursement, and maintain accurate account documentation in the billing system.

You will follow up with payers, address underpayments, adhere to HIPAA and payer requirements, and support hospital and physician patients during business hours. INTEGRIS Health is an Equal Opportunity Employer.