Patient Accounting Spec Sr - Days at INTEGRIS Health

, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jun, 26

Salary

0.0

Posted On

14 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Denials Management, Healthcare Billing, Collections, Payment Processing, DRG, ICD-10, CPT-4, UB04/CMS-1500 Claim Billing, Contract Interpretation, Legal Procedures, Microsoft Office, Medicare Appeals, Medicaid Appeals, Commercial Payer Appeals, Fair Debt Collection Practices

Industry

Hospitals and Health Care

Description

INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a Patient Accounting Spec Sr in Oklahoma City, OK. In this position, you’ll work with our Revenue Cycle Denial Management 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. The Patient Accounting Specialist III is 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. Superior understanding of claims management including provider level benefits, third party payer guidelines and contracts, state/federal laws and all other functions of the job. Maintains and monitors integrity of the claim development and submission process. 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. 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.

Responsibilities

The Specialist III is responsible for processing complex transactions, including global transplant cases, payer audits, and managing data from multiple sources, while reviewing and resolving denied or underpaid/overpaid claims and managing the appeals process. This role also involves maintaining third-party payer relationships by responding to inquiries, complaints, and correspondence related to denials, appeals, payments, and audits.