Patient Accounting Specialist-Business Office


Patient Accounting Spec

Job Code: 8317

This is a Full Time Days Patient Accounting Specialist position located at the Central Business Office.

Looking for applicants that are familiar with hospital insurance, hospital billing, and Medicare or Medicaid.

Position Summary:

The Patient Accounting Specialist I general responsibilities include 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 and pursuing follow-up efforts on aged accounts.

INTEGRIS Health is an Equal Opportunity/Affirmative Action employer. 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.

Essential Functions:

The Patient Accounting Specialist I responsibilities include, but are not limited to, the following:

* 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, 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.

Accountability:

Reports to the manager or supervisor of the department as assigned.

Required Physical Demands (Subject to Reasonable Accommodation):

Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Light (Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently)
Talking (Must be able to effectively communicate verbally): Yes
Seeing: Yes
Hearing: Yes
Color Acuity (Must be able to distinguish and identify colors): No

This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.

Environmental Conditions:

Office environment with no known exposures to hazardous material.

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:

* 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)
Company
INTEGRIS Health
Posted
06/05/2021
Salary Range
$30,000.00 - 41,000.00
per Year
Salary range estimated by
Location
Oklahoma City, OK, US