Senior Patient Accounting Specialist – Physician Billing

INTEGRIS Health

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

Posted 10/12/2026full-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 understanding of regulatory compliance and payer relationships. Proficient in processing complex transactions and executing appeals while maintaining accurate documentation and reporting.

Highest-signal resume keywords

Healthcare Billing ExperienceDenials ManagementClaims ProcessingHealthcare Certification (CRCR, CRCS, CHAA)Knowledge of ICD-10 and CPT-4

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementPayment ProcessingAuditingData AnalysisAppeals ProcessDocumentationRegulatory CompliancePayer RelationsReport PreparationBilling Software

Soft Skills

Effective CommunicationProblem SolvingCollaborationAttention to DetailIndependent Decision-Making

Tools & Technologies

Microsoft OfficeBilling SoftwareClaims Management Software

Certifications & Qualifications

CRCRCRCSCHAA

Industry Keywords

HealthcareDenialsPayer AuditsMedicareMedicaidThird-Party ContractsNCQA GuidelinesFair Debt Collection PracticesHIPAAState and Federal Regulations

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 and underpaid/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, and/or perform physician charge entry
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 pertinent documentation
Research claims, files, best practices, and policy reforms
Conduct internal and external correspondence in accordance with organizational regulations
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
Participate in service, process, and quality improvement activities and provide feedback to management
Maintain knowledge of state and federal regulations, accreditation/compliance requirements, fraud and abuse, confidentiality, HIPAA, and INTEGRIS Health policies
Contribute to testing system modifications and collaborate with IT staff and department managers on implementation
Participate in professional development
Report to the department manager or supervisor as assigned

Requirements

What you’ll need

Four years experience in healthcare billing, collections, payment processing, or denials management (denials management experience preferred)
Understands or has worked in 3+ areas of healthcare such as billing and collections and denials or registration and billing and collections preferred
Healthcare certification (CRCR, CRCS, CHAA) preferred
Bachelors Degree preferred
Previous experience in DRG, ICD-10, CPT-4 and UB04/CMS-1500 claim billing
Knowledge of legal documents, contract documents, and collection agency procedures and legal procedures
Previous experience in Microsoft Office and billing and claims management software
Previous 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 for denials and appeals, federal and state regulations relating to denials and appeals, and Fair Debt Collection Practices
Must be able to communicate effectively in English (verbal/written)
Must follow standard precautions
Potential exposure to infections and communicable diseases, blood and body fluids, electrical equipment, and chemicals

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