INTEGRIS Health
Patient Accounting Spec - Days
INTEGRIS Health, Oklahoma City, Oklahoma, United States, 73116
Patient Accounting Spec - Days
INTEGRIS Health, Oklahoma’s largest not-for-profit health system, has a great opportunity for a Patient Accounting Spec in Oklahoma City, OK. In this position, you’ll work Monday - Friday 8am to 5pm with our SBO Shared Svcs Team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as front‑loaded PTO, 100% INTEGRIS Health paid short‑term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
Responsibilities
Reviews, evaluates and works with HIM and other applicable departments to resolve questions related to medical codes, modifiers, and/or other elements present or missing on the claim.
Assists with receipt of correspondence related to EOBs, payer notices, and payer audits/record reviews.
Analyzes payment rates and claim processing by third‑party payers and governmental agencies for accuracy during the claim monitoring process and ensures timely follow-up to recover any underpayment.
Provides feedback to management on revenue opportunities and payer standards.
Responsible for importing, processing, and reconciling 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 an action plan for next steps to resolve.
Effectively handles all communications, including telephone and email from payers and departments within the health system.
Participates and recommends areas where performance improvement to processes around third‑party and government collections are warranted.
Understands and maintains compliance with HIPAA guidelines when handling patient information.
Maintains thorough knowledge of federal and state regulations, as well as specific payer requirements, explanations of benefits and contract language, 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. This position may have additional or varied physical demands and/or respiratory fit test requirements; please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Exposure to hazards is minimal when proper safety procedures are followed. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
Qualifications
3 years of experience in insurance, billing, collections, denial, or a related business environment.
Previous exposure or work experience in 2+ areas of healthcare such as billing and collections or registration and billing preferred.
2 years of college education preferred; Healthcare Certification (CRCR, CRCS, CHAA) preferred.
Previous experience using Microsoft Office programs.
Previous experience with Medicare, Medicaid, and third‑party reimbursement rules and regulations, and interpretation of third‑party payer EOBs preferred.
Previous experience with ICD‑10 and CPT‑4 coding and UB‑04 and/or CMS 1500 claim billing, coding, and reimbursement issues and health care program reimbursement and methodologies preferred.
Must be able to communicate effectively in English (verbal and written).
About Us INTEGRIS Health mission: Partnering with people to live healthier lives.
To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.
INTEGRIS Health is the state's largest Oklahoma‑owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
Senior Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance
Industries Hospitals and Health Care
Referral Incentive Referrals increase your chances of interviewing at INTEGRIS Health by 2x.
#J-18808-Ljbffr
Responsibilities
Reviews, evaluates and works with HIM and other applicable departments to resolve questions related to medical codes, modifiers, and/or other elements present or missing on the claim.
Assists with receipt of correspondence related to EOBs, payer notices, and payer audits/record reviews.
Analyzes payment rates and claim processing by third‑party payers and governmental agencies for accuracy during the claim monitoring process and ensures timely follow-up to recover any underpayment.
Provides feedback to management on revenue opportunities and payer standards.
Responsible for importing, processing, and reconciling 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 an action plan for next steps to resolve.
Effectively handles all communications, including telephone and email from payers and departments within the health system.
Participates and recommends areas where performance improvement to processes around third‑party and government collections are warranted.
Understands and maintains compliance with HIPAA guidelines when handling patient information.
Maintains thorough knowledge of federal and state regulations, as well as specific payer requirements, explanations of benefits and contract language, 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. This position may have additional or varied physical demands and/or respiratory fit test requirements; please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Exposure to hazards is minimal when proper safety procedures are followed. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
Qualifications
3 years of experience in insurance, billing, collections, denial, or a related business environment.
Previous exposure or work experience in 2+ areas of healthcare such as billing and collections or registration and billing preferred.
2 years of college education preferred; Healthcare Certification (CRCR, CRCS, CHAA) preferred.
Previous experience using Microsoft Office programs.
Previous experience with Medicare, Medicaid, and third‑party reimbursement rules and regulations, and interpretation of third‑party payer EOBs preferred.
Previous experience with ICD‑10 and CPT‑4 coding and UB‑04 and/or CMS 1500 claim billing, coding, and reimbursement issues and health care program reimbursement and methodologies preferred.
Must be able to communicate effectively in English (verbal and written).
About Us INTEGRIS Health mission: Partnering with people to live healthier lives.
To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.
INTEGRIS Health is the state's largest Oklahoma‑owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.
Senior Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance
Industries Hospitals and Health Care
Referral Incentive Referrals increase your chances of interviewing at INTEGRIS Health by 2x.
#J-18808-Ljbffr