Senior Patient Accounting Specialist

INTEGRIS Health

Patient Accounting Specialist Sr handling complex billing and claims at INTEGRIS Health in Oklahoma City. Engaging with third-party payers and managing appeals processes.

Posted 7/23/2026full-timeOklahoma City • Oklahoma • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing, collections, and denials management, with a strong focus on compliance with state and federal regulations. Proficient in processing complex transactions and managing payer relationships while ensuring accuracy in claims and appeals.

Highest-signal resume keywords

Healthcare Billing ExperienceDenials ManagementClaims ProcessingHealthcare Certification (CRCR, CRCS, CHAA)Knowledge of ICD-10 and CPT-4

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementPayment ProcessingDenial AppealsData AnalysisReport PreparationBilling Software ProficiencyLegal Document KnowledgeContract Document KnowledgeThird-Party Payer RelationsHealthcare Compliance

Soft Skills

Effective CommunicationProblem SolvingCollaborationAttention to DetailProfessional Correspondence

Tools & Technologies

Microsoft OfficeBilling SoftwareClaims Management Software

Certifications & Qualifications

CRCRCRCSCHAA

Industry Keywords

MedicareMedicaidDRGUB04CMS-1500NCQA GuidelinesFair Debt Collection PracticesPayer AuditsFraud and Abuse RegulationsHIPAA

About the role

Key responsibilities & impact

Responsible for processing complex transactions such as complex services 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
Maintains and monitors integrity of the claim development and submission process
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
Collaborates with team members to continually improve services, and engages in process and quality improvement activities
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

Requirements

What you’ll need

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

Comp & perks

front-loaded PTO
medical benefits through the extensive INTEGRIS Health network
financial assistance for continued education
24/7 mental health support
opportunities for career growth