Patient Accounting Spec Sr

INTEGRIS Health; Oklahoma; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Front-loaded PTO

Medical benefits

Education assistance

24/7 mental health support

Job summary

INTEGRIS Health in Oklahoma City is seeking a Sr. Patient Accounting Specialist for day shift (6am-6pm) on a full-time basis.

The role focuses on processing complex healthcare transactions, manual review of denials, and managing payer relationships. The candidate will support auditing and appeals, maintain data integrity across multiple systems, and collaborate with departments to improve revenue cycle processes.

Qualifications

• Four years experience in healthcare billing, collections, payment processing or denials management.
• Experience with DRG, ICD-10, CPT-4 and UB04/CMS-1500 claim billing preferred.
• Knowledge of state and federal regulations and HIPAA practices.

Responsibilities

• Process complex transactions including healthcare payments and claims.
• Audit and manage appeals with third-party and government payers.
• Monitor payer files for accuracy and update records as needed.
• Prepare and submit required reports and maintain documentation.

Skills

Healthcare billing

Denials management

Payments processing

Education

Bachelor's Degree

CRCR/CRCS/CHAA Certifications

Job description

Join our team as a day shift (6am-6pm), fulltime, Sr. Patient Accounting Specialist, at INTEGRIS Health Corporate, in Oklahoma City, OK.

Get to Know Your Team

INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.

Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.

Take the first step toward growing your career by joining us.

The Patient Accounting Specialist III is 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. Superior understanding of claims management including provider level benefits, third party payer guidelines and contracts, state/federal laws and all other functions of the job. Maintains and monitors integrity of the claim development and submission process.

INTEGRIS Health is an Equal Opportunity/Affirmative Action employer. 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.

The Patient Accounting Specialist III responsibilities include, but are not limited to, the following:

• 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.
• 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.
• 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.

Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.

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.

Four years experience in healthcare billing, collections, payment processing, or denials management (denials management experience preferred)

Understands or has worked in 3+ areas of healthcare such as billing and collections and denials or registration and billing and collections preferred

Healthcare certification (CRCR, CRCS, CHAA) preferred

Bachelors Degree preferred

Previous experience in DRG, ICD-10, CPT-4 and UB04/CMS-1500 claim billing

Knowledge of legal documents, contract documents, and collection agency procedures and legal procedures

Previous expe