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Patient Accounting Specialist – Hospital Billing
INTEGRIS Health. Accurately process healthcare claims according to payer compliance regulations .
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 billing documentation. Proficient in medical terminology, coding practices, and effective communication with payers and patients.
Highest-signal resume keywords
Healthcare Claims ProcessingICD10 CodingCPT CodingHIPAA ComplianceInsurance 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
BillingCollectionsPayment ProcessingAccount DocumentationPayer Compliance RegulationsClaims SubmissionInsurance Balances CollectionData ManipulationQuality ImprovementMedical Terminology
Soft Skills
Effective CommunicationProblem-SolvingAttention to DetailTeam CollaborationCustomer Service
Tools & Technologies
Microsoft OfficeBilling System
Certifications & Qualifications
CRCRCRCSCHAA
Industry Keywords
HealthcarePayer RequirementsFederal RegulationsState RegulationsExplanations of Benefits
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
- Pursue follow-up efforts on aged accounts
- Import and process payment files and claims
- Collect insurance or patient balances and enter physician charges
- Maintain and manipulate multiple files or work lists
- Follow up directly with payers on outstanding claims, payment variances, and timely reimbursement
- Provide reasons for suspected underpayments and analyze payer explanations for non-payment
- Update 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
- Identify and report billing compliance issues and payer discrepancies
- Assist hospital and/or physician patients visiting the patient accounting office
- Report to the department manager or supervisor as assigned
Requirements
What you’ll need- 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)
- Must understand and maintain compliance with HIPAA guidelines
- Must understand federal and state regulations, payer requirements, and explanations of benefits
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