Senior Patient Accounting Specialist
INTEGRIS Health
full-time
Posted on:
Location Type: Office
Location: Oklahoma City • Oklahoma • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Responsible for processing complex transactions 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
Requirements
- 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 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)
Benefits
- Increased compensation plans
- Recently enhanced benefits package
- Front-loaded PTO
- 100% INTEGRIS Health paid short-term disability
- Increased retirement match
- Paid family leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare billingcollectionspayment processingdenials managementDRGICD-10CPT-4UB04claims managementappeals process
Soft skills
communicationproblem-solvingrelationship managementattention to detailanalytical thinking
Certifications
CRCRCRCSCHAA