Patient Accounting Specialist

INTEGRIS Health is a not-for-profit health system seeking a Patient Accounting Specialist I to support hospital billing accounts in Oklahoma City. The role processes healthcare claims, follows up with payers and patients on outstanding balances, maintains accurate billing records, and ensures compliance with payer, federal, state, and HIPAA requirements.

What you'll do:

• Responsible for 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

What they're looking for:

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

Benefits:

• Front-loaded PTO
• Medical benefits through the extensive INTEGRIS Health network
• Financial assistance for continued education
• 24/7 mental health support
• Hybrid work arrangement