Accounting Manager

• 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 perform physician charge entry
• Maintain and manipulate multiple files or work lists
• Communicate directly with payers regarding outstanding claims and payment variances
• Provide payers with reasons for suspected underpayments and analyze reasons for non-payment
• Update account information and action plans
• Handle telephone and email communications from payers and health system departments
• Participate in continuous quality improvement efforts and track progress with supervisors
• Maintain HIPAA compliance when handling patient information
• Apply federal, state, and payer regulations and explanations of benefits to identify billing compliance issues and payer discrepancies
• Assist hospital and/or physician patients visiting the patient accounting office during business hours
• Report to the department manager or supervisor

Patient Accounting Specialist

• 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

Accounting Manager jobs in Oklahoma

Patient Accounting Specialist

Senior Patient Accounting Specialist