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INTEGRIS Health

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 conducting appeals while maintaining accurate documentation and communication.

Highest-signal resume keywords
Healthcare Billing ExperienceDenials ManagementICD-10 Claim BillingMicrosoft Office ProficiencyHealthcare Certification (CRCR, CRCS, CHAA)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Claims ProcessingPayment ProcessingDenial AuditsData AnalysisReport PreparationLegal Document KnowledgeContract Document KnowledgeBilling Software ProficiencyThird-Party Contract ManagementRegulatory Compliance
Soft Skills
Effective CommunicationProblem SolvingCollaborationAttention to DetailDecision Making
Certifications & Qualifications
CRCRCRCSCHAA
Industry Keywords
HealthcarePayer RelationshipsMedicare DenialsMedicaid DenialsCommercial Payer AppealsNCQA GuidelinesFair Debt Collection PracticesUB04CMS-1500Standard Precautions

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 conduct the appeals process
  • Maintain third-party payer relationships and respond to inquiries, complaints, and correspondence regarding denials, appeals, payments, and audits
  • Import and process payment files, process claims, collect insurance, and/or enter physician charges
  • Execute denial audits and appeals, including receiving, assessing, documenting, tracking, responding to, and resolving appeals
  • Monitor payer files for accuracy and update documentation
  • Research claims, files, best practices, and policy reforms
  • Conduct accurate and professional internal and external correspondence
  • Work with internal departments and external organizations to resolve complex accounts
  • Maintain trending data on payer issues, underpayments, banking errors, and payment trends
  • Prepare, maintain, assist with, and submit reports
  • Make complex decisions independently within the position's scope
  • Participate in service, process, quality improvement, and professional development activities
  • Communicate regulations, accreditation and compliance requirements, and INTEGRIS Health policies, including fraud and abuse, confidentiality, and HIPAA
  • Identify improvement opportunities and help test system modifications with IT staff and department managers
  • Report to the department manager or supervisor

Requirements

What you’ll need
  • Four years experience in healthcare billing, collections, payment processing, or denials management
  • Understanding or experience in 3+ areas of healthcare, such as billing and collections, denials, registration, or related areas
  • 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
  • Effective English verbal and written communication
  • Healthcare certification (CRCR, CRCS, CHAA) preferred
  • Bachelor's degree preferred
  • Must follow standard precautions; potential exposure to infections, 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