Senior Patient Accounting Specialist

INTEGRIS Health

. Process complex transactions, including global transplant cases, payer audits, payer withholds, and complex data from multiple sources .

Posted 9/29/2026full-timeOklahoma City • Oklahoma • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing, collections, and denials management, with a strong focus on compliance with state and federal regulations, as well as effective communication with third-party payers. Proficient in processing complex transactions and executing appeals for denied claims while maintaining accurate documentation and reporting.

Highest-signal resume keywords

Healthcare Billing ExperienceDenials ManagementICD-10 CodingClaims ProcessingEffective Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingClaims ManagementPayment ProcessingDenials ManagementICD-10CPT-4UB04/CMS-1500AuditingData AnalysisReport Preparation

Soft Skills

Problem SolvingCollaborationProfessional CommunicationDecision MakingCustomer Service

Tools & Technologies

Microsoft OfficeBilling SoftwareClaims Management Software

Certifications & Qualifications

CRCRCRCSCHAA

Industry Keywords

Payer AuditsThird-Party PayersMedicareMedicaidNCQA GuidelinesFair Debt Collection PracticesHIPAA ComplianceFraud and AbuseState and Federal RegulationsHealthcare Compliance

About the role

Key responsibilities & impact

Process complex transactions, including global transplant cases, payer audits, payer withholds, and complex data from multiple sources
Review and resolve denied, underpaid, and overpaid claims and carry out the appeals process
Maintain third-party payer relationships and respond to inquiries, complaints, and correspondence related to denials, appeals, payments, and audits
Import and process payment files, process claims, collect insurance payments, and/or enter physician charges
Execute auditing and denial appeals, including receiving, assessing, documenting, tracking, responding to, and resolving appeals with third-party and government payers
Monitor payer files for accuracy and update payer documentation
Research files, claims, best practices, and policy reforms
Conduct accurate, clear, concise, and professional internal and external correspondence
Work with internal departments and external organizations to resolve complex accounts
Maintain data for trending payer issues, underpayments, banking errors, and payment trends
Prepare, maintain, assist with, and submit reports
Make complex decisions independently within the scope of the position
Collaborate on service improvements, process and quality improvement activities, revenue opportunities, and payer standards
Maintain knowledge of state and federal regulations, accreditation and compliance requirements, fraud and abuse, confidentiality, HIPAA, and INTEGRIS Health policies
Identify improvement opportunities and contribute to testing system modifications with IT staff and department managers
Participate in professional development
Report to the manager or supervisor of the department

Requirements

What you’ll need

Four years experience in healthcare billing, collections, payment processing, or denials management
Experience in 3+ areas of healthcare, such as billing and collections, denials, registration, or billing and collections
Previous experience in DRG, ICD-10, CPT-4, and UB04/CMS-1500 claim billing
Knowledge of legal documents, contract documents, collection agency procedures, and legal procedures
Experience with Microsoft Office and billing and claims management software
Experience with hospital billing and reimbursement, physician billing and reimbursement, Medicare and Medicaid denials and appeals, commercial payer denials and appeals, third-party contracts, NCQA guidelines, federal and state regulations relating to denials and appeals, and Fair Debt Collection Practices
Must be able to communicate effectively in English, verbally and in writing
Healthcare certification (CRCR, CRCS, CHAA) preferred
Bachelor's degree preferred

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