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Patient Accounting Spec Sr

 INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a Patient Accounting Spec Sr in Oklahoma City, OK.  In this position, you’ll work with our SBO Shared Svcs Team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and  paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

 

The Patient Accounting Specialist III is responsible for processing complex transactions such as complex services such as global transplant cases, payer audits, payer withholds and managing complex data from multiple sources; reviewing and resolving denied and underpaid/overpaid claims and carrying out the appeals process. Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence related to denials, appeals/ payments and audits. Superior understanding of claims management including provider level benefits, third party payer guidelines and contracts, state/federal laws and all other functions of the job. Maintains and monitors integrity of the claim development and submission process.

INTEGRIS Health is an Equal Opportunity/Affirmative Action employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Average salary estimate

$70000 / YEARLY (est.)
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$60000K
$80000K

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What You Should Know About Patient Accounting Spec Sr, INTEGRIS Health

Are you ready to make a meaningful impact on patient care while advancing your career? INTEGRIS Health, the largest not-for-profit health system in Oklahoma, is looking for a dynamic Patient Accounting Spec Sr to join our SBO Shared Services Team in Oklahoma City. In this role, you'll be at the forefront of managing complex transactions involving critical services like global transplant cases and intricate payer audits. Your expertise will help us navigate the nuances of denied, underpaid, or overpaid claims and expertly execute the appeals process. At INTEGRIS Health, we value our employees and offer an enticing benefits package that includes front-loaded PTO, fully paid short-term disability, an increased retirement match, and paid family leave. If our mission of partnering with people to lead healthier lives resonates with you, we’d love for you to consider this opportunity. You'll be pivotal in cultivating strong third-party payer relationships, addressing inquiries and complaints, and ensuring compliance with state and federal laws. This isn’t just a job; it’s a chance to join a team that’s dedicated to being The Most Trusted Partner for Health. Join us at INTEGRIS Health, and together, we can foster a healthier community while advancing your professional journey.

Frequently Asked Questions (FAQs) for Patient Accounting Spec Sr Role at INTEGRIS Health
What are the primary responsibilities of the Patient Accounting Spec Sr at INTEGRIS Health?

As a Patient Accounting Spec Sr at INTEGRIS Health, your key responsibilities include processing complex transactions such as global transplant cases, managing payer audits, and resolving denied or underpaid claims. You will also handle interactions with third-party payers to maintain relationships and ensure compliance with their guidelines.

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What qualifications do I need to become a Patient Accounting Spec Sr at INTEGRIS Health?

To qualify for the Patient Accounting Spec Sr position at INTEGRIS Health, candidates should have a strong understanding of claims management, including provider benefits and third-party payer contracts. Previous experience in healthcare accounting or related fields and familiarity with state and federal health laws are also crucial for success.

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How does INTEGRIS Health support the professional development of Patient Accounting Spec Sr employees?

INTEGRIS Health is dedicated to the professional growth of its Patient Accounting Spec Sr employees. The organization offers training programs, access to ongoing education, and opportunities for career advancement, ensuring that staff can hone their skills and thrive in their roles.

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What is the work environment like for a Patient Accounting Spec Sr at INTEGRIS Health?

The work environment for a Patient Accounting Spec Sr at INTEGRIS Health is collaborative and supportive, with a focus on teamwork and patient care. You'll be part of the SBO Shared Services Team, where you'll work closely with others who share your passion for healthcare excellence and patient advocacy.

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What are the benefits offered to Patient Accounting Spec Sr employees at INTEGRIS Health?

INTEGRIS Health offers a robust benefits package for its Patient Accounting Spec Sr employees, including front-loaded PTO, 100% paid short-term disability, increased retirement match, and paid family leave, promoting a healthy work-life balance for its caregivers.

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Common Interview Questions for Patient Accounting Spec Sr
Can you describe your experience with complex claims management?

When answering this question, emphasize your previous roles where you managed complex claims, detailing specific types of cases you've handled, such as global transplants. Discuss your approach to troubleshooting and resolving issues related to claims.

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What strategies do you employ to maintain effective relationships with third-party payers?

Highlight your communication skills and proactive problem-solving tactics. Discuss specific examples where you successfully addressed inquiries or resolved issues with third-party payers that resulted in positive outcomes.

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How do you ensure compliance with state and federal regulations in your accounting practices?

Mention your familiarity with healthcare regulations and your commitment to staying updated on changes. Provide examples of how you’ve implemented compliance measures in previous roles to maintain the integrity of claims processing.

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What steps do you take when you encounter denied claims?

Discuss your systematic approach to analyzing denied claims, which may include identifying the reasons for denial, contacting insurance companies for clarification, and detailing your appeals process to challenge the denied claims effectively.

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How do you prioritize your workload in a fast-paced environment?

Talk about your time management skills and describe any tools or techniques you use to prioritize tasks effectively, ensuring that high-impact issues are addressed promptly while maintaining quality in your work.

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Describe a time when you turned around a difficult situation with a payer.

Share a specific story that highlights your negotiation skills and persistence in resolving a challenging payer interaction. Illustrate how your effort resulted in a favorable outcome for the organization.

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How do you stay motivated in roles that require attention to detail?

Explain your commitment to accuracy and the importance you place on detail-oriented work. Discuss techniques that keep you engaged and motivated in meticulous tasks, such as setting personal goals or collaborating with teammates.

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What do you think are the key skills for a Patient Accounting Spec Sr?

List essential skills such as analytical thinking, strong communication abilities, and a solid grasp of healthcare regulations. Explain how you have demonstrated these skills in your past positions, linking them to successful results.

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Why do you want to work for INTEGRIS Health?

Your response should reflect your alignment with the company's mission and values. Discuss your enthusiasm for contributing to patient care and how INTEGRIS Health’s dedication to community wellbeing resonates with you personally.

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How can you contribute to the culture of INTEGRIS Health as a Patient Accounting Spec Sr?

Articulate how your values align with the organizational culture, emphasizing your commitment to teamwork, patient advocacy, and continuous improvement. Share examples of how you’ve fostered collaboration and positive dynamics within your team.

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At INTEGRIS Health, we believe in partnering with people to live healthier lives.

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Full-time, on-site
DATE POSTED
March 30, 2025

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