Patient Accounting Specialist

INTEGRIS Health•Oklahoma City, OK

21d•Onsite

About The Position

INTEGRIS Health is hiring a Patient Accounting Specialist I to support vendor-managed and Shared Services/Corporate Billing accounts in the Hospital Billing team at the INTEGRIS Health 5300 Building in Oklahoma City, Oklahoma. The role processes healthcare claims in accordance with payer compliance regulations and supports timely claim submission and reimbursement from third-party payers and patients. It also maintains accurate account documentation and follows up on aged accounts. The position involves processing payments and claims, collecting insurance or patient balances, entering physician charges, communicating with payers and internal departments, investigating payment discrepancies, and documenting actions needed to resolve accounts. The specialist is expected to follow HIPAA guidelines and applicable federal and state regulations, participate in quality-improvement efforts, and assist hospital or physician patients who visit the patient accounting office during business hours. The role reports to the assigned department manager or supervisor and works in an office environment with no known hazardous-material exposures. INTEGRIS Health describes its mission as partnering with people to live healthier lives and offers career and development opportunities.

Requirements

One year of experience in insurance, billing and collections, or a related business environment; successful completion of a related Career Tech program of 1,100 or more hours may be considered in lieu of experience.
Previous experience using Microsoft Office programs.
Ability to communicate effectively in English, verbally and in writing.

Nice To Haves

College coursework in a related field or a healthcare certification such as CRCR, CRCS, or CHAA.
Previous experience with medical terminology and basic ICD-10 and CPT coding.
Previous experience in billing, insurance-resolution follow-up, cash posting, or customer service.

Responsibilities

Import and process payment files and claims; collect insurance or patient balances; and enter physician charges.
Maintain and manipulate multiple files or work lists as assigned.
Contact payers about outstanding claims to resolve payment variances and support timely reimbursement.
Provide payers with reasons for suspected underpayments and analyze payer explanations for non-payment.
Update and maintain accurate account information, including action plans for next steps toward resolution.
Handle payer and internal department communications by telephone and email.
Participate in ongoing quality-improvement efforts, establish goals with supervisors, and track progress.
Maintain compliance with HIPAA guidelines when handling patient information.
Understand federal and state regulations, payer requirements, and explanations of benefits to identify and report billing compliance issues and payer discrepancies.
Assist hospital and/or physician patients who visit the patient accounting office during business hours.