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Patient Accounting Specialist – Physician Billing
INTEGRIS HealthPatient Accounting Specialist managing physician billing for healthcare claims at INTEGRIS Health. Accurately processing claims and ensuring timely reimbursement from various third-party payers.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare claims processing, ensuring compliance with payer regulations and timely reimbursement. Proficient in medical terminology, ICD10 and CPT coding, and effective communication with payers and patients.
Highest-signal resume keywords
Healthcare Claims ProcessingPayer Compliance RegulationsMedical TerminologyICD10 CodingCPT Coding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingInsurance Resolution Follow-UpCash PostingAccount DocumentationPayment File Processing
Soft Skills
Effective CommunicationProblem SolvingCustomer Service
Tools & Technologies
Microsoft Office
Certifications & Qualifications
CRCRCRCSCHAA
Industry Keywords
HIPAA ComplianceFederal RegulationsState RegulationsPayer RequirementsExplanations of Benefits
About the role
Key responsibilities & impact- Accurately processing healthcare claims according to payer compliance regulations
- Ensuring timely claim submission and reimbursement from various third-party payers and or patients
- Ensuring proper account documentation in the facility's billing system
- Pursuing follow-up efforts on aged accounts
- 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
- 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
- Assists hospital and/or physician patients who come to the patient accounting office during business hours
Requirements
What you’ll need- 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
- College coursework in related field or Healthcare Certification (CRCR, CRCS, CHAA) preferred
- Previous experience with medical terminology, basic ICD10 and CPT coding preferred
- Previous experience using Microsoft Office programs
- Previous experience in one of the following: billing, insurance resolution follow-up, cash posting, or customer service preferred
- Must be able to communicate effectively in English (verbal/written)
Benefits
Comp & perks- front-loaded PTO
- medical benefits through the extensive INTEGRIS Health network
- financial assistance for continued education
- 24/7 mental health support and more.