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Patient Accounting Specialist – Hospital Billing
INTEGRIS HealthPatient accounting specialist processing claims, payments, and payer follow-up for Oklahoma’s largest nonprofit health system. Maintaining compliant billing records and resolving reimbursement discrepancies.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing healthcare claims, ensuring compliance with payer regulations, and maintaining accurate account documentation. Proficient in medical billing, coding, and effective communication with payers to resolve discrepancies and achieve timely reimbursements.
Highest-signal resume keywords
Healthcare Claims ProcessingMedical Billing/CodingHIPAA ComplianceICD-10 and CPT CodingInsurance Resolution Follow-Up
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 ProcessingAccount DocumentationPayment File ProcessingInsurance CollectionsPayer CommunicationBilling ComplianceData EntryCash PostingMedical TerminologyRegulatory Compliance
Soft Skills
Effective CommunicationProblem SolvingAttention to DetailOrganizational SkillsTeam Collaboration
Tools & Technologies
Microsoft OfficeBilling System Software
Certifications & Qualifications
CRCRCRCSCHAA
Industry Keywords
Payer Compliance RegulationsExplanations of BenefitsAged Accounts Follow-UpContinuous Quality ImprovementFederal and State Regulations
About the role
Key responsibilities & impact- Accurately process healthcare claims according to payer compliance regulations
- Ensure timely claim submission and reimbursement from third-party payers and/or patients
- Maintain proper account documentation in the facility’s billing system and pursue follow-up on aged accounts
- Import and process payment files, process claims, collect insurance or patient balances, and enter physician charges
- Maintain and manipulate multiple files or work lists
- Communicate directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement
- Provide payers with reasons for suspected underpayments and analyze payer explanations for non-payment
- Update and maintain accurate account information and action plans
- Handle telephone and email communications from payers and health-system departments
- Participate in continuous quality improvement, establish goals with supervisors, and track progress
- Maintain HIPAA compliance when handling patient information
- Apply 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 visiting the patient accounting office during business hours
- Report to the department manager or supervisor as assigned
Requirements
What you’ll need- 1 year of experience in insurance, billing and collections, or a related business environment
- Successful completion of a 1100+ related Career Tech program in medical billing/coding or accounting/bookkeeping may be considered in lieu of experience
- College coursework in a related field or healthcare certification (CRCR, CRCS, CHAA) preferred
- Previous experience with medical terminology, basic ICD-10, and CPT coding preferred
- Previous experience using Microsoft Office programs
- Previous experience in billing, insurance resolution follow-up, cash posting, or customer service preferred
- Must be able to communicate effectively in English, verbally and in writing
- Must understand and maintain compliance with HIPAA guidelines
- Must understand federal and state regulations, payer requirements, and explanations of benefits
- Office environment; may have additional physical-demand and/or respiratory fit-test requirements
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support
- Career and development opportunities