Patient Accounting Specialist - Physician Billing

Responsibilities

• Accurately process healthcare claims according to payer compliance regulations.
• 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.
• 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.

Qualifications

• 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).

About the role

Join our team as a Patient Accounting Specialist - Physician Billing at the INTEGRIS Health 5300 Building, in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take your first step toward growing your career by joining us.