INTEGRIS Job - 29299251 | CareerArc
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Location: Oklahoma City, OK
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech


Medical Billing Specialist

Job Code: 8153

Position Summary:

The Medical Billing Specialist handles all incoming calls to assigned area, posts any receivables, researches accounts and provides accurate information to relevant parties.

INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.

Essential Functions:

The Medical Billing Specialist responsibilities include, but are not limited to, the following:
Payment Poster/Charge Entry:

* Post payments from checks, EOBs, and scanned documents.

* Post denials/zero payments from EOBs and scanned documents

* Recognize and post recoupments as needed.

* Correct and repost payments/adjustments of misapplied transactions.

* Post charges from daily charge tickets or to correct charges on an account.

* Assist with writing procedures.

* Assist in training new employees.

* Assist with monthly audits.

AR Insurance Collections/Patient Collections/Customer Service:

* Take/make patient or insurance calls and research issues with claims or patient balances

* Note accounts in detail, accurately and timely.

* Enter/Update demographics as instructed by patient or clinic personnel.

* Verify transactions are posted correctly to an account and research EOBs if clarification is needed.

* Attempt contact with the patient as needed for unresolved insurance issues or past due balances.

* Recognize coding issues and send claims for review if needed.

* Refile claims when needed to appropriate insurance carrier.

* Work all incoming correspondence from patient or insurance as needed.

* Correct and repost payments/adjustments of misapplied transactions.

* Assist the refund auditor when needed to process credit balances for refund.

* Assist with writing procedures.

* Assist in training new employees.

* Assist with monthly audits.


Reports to the assigned Supervisor, Manager and/or Director.

Required Physical Demands (Subject to Reasonable Accommodation):

Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
Talking (Must be able to effectively communicate verbally): Yes
Seeing: Yes
Hearing: Yes
Color Acuity (Must be able to distinguish and identify colors): No

This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.

Environmental Conditions:

Must be able to effectively handle high volume of telephone calls and claims activity. Must be able to handle multiple tasks and work in a high stress environment.

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.



* High School diploma or equivalent required.

* 2 years insurance billing, collections or claims processing experience preferred.

* Knowledge of Microsoft Office and 10 key

* 30 wpm typing

* Knowledge of medical terminology, basic ICD-9 and CPT coding

* Knowledge of legal documents, full disclosure laws, credit analysis, collection agency procedures, legal procedures and fair debt collection practices

* Must be able to communicate effectively in English

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