Apply on Employer Site

INTEGRIS Health · 2 hours ago

Patient Accounting Spec Sr - Days

OK, United States

Full-time

Onsite

Mid, Senior Level

4+ years exp

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, has a great opportunity for a Patient Accounting Spec Sr in Oklahoma City, OK. In this role, you will be responsible for processing complex transactions related to healthcare billing and managing payer relationships while ensuring compliance with regulations.

Health CareHealth DiagnosticsHospitalPersonal Health

H1B Sponsor Likely

Responsibilities

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

Qualification

Healthcare billing experienceDenials management experienceClaims management softwareHealthcare certificationICD-10CPT-4 knowledgeMicrosoft Office proficiencyEffective communication

Required

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

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 experience in Microsoft Office and experience with billing and claims management software

Previous experience with hospital billing and reimbursement, physician billing and reimbursement, Medicare and Medicaid denials and appeals, commercial payer denials and appeals, third-party contracts, NCQA guidelines for denials and appeals, Federal and State regulations relating to denials and appeal and Fair Debt Collection Practices

Must be able to communicate effectively in English (verbal/written)

Preferred

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

Benefits

Front loaded PTO

100% INTEGRIS Health paid short term disability

Increased retirement match

Paid family leave

Company

INTEGRIS Health

Glassdoor3.4

INTEGRIS Health is the state’s largest Oklahoma-owned health system and one of the state’s largest private employers, with hospitals, rehabilitation centers, physician clinics, mental health facilities, fitness centers, independent living centers, home health agencies and urgent cares throughout much of the state.

Founded in 1983

Oklahoma City, Oklahoma, USA

10001+ employees

https://www.integrisok.com

H1B Sponsorship

INTEGRIS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (36)

2024 (17)

2023 (12)

2022 (18)

2021 (15)

2020 (14)