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

Description

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.

Accountability:

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.



Requirements

Qualifications:


* 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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