Accounting Manager focusing on billing and accounts receivable for San Diego International Airport. Leading operations and ensuring compliance in a complex financial environment.
About the role
- Patient Accounting Spec Sr responsible for complex billing and claims management at INTEGRIS Health. Ensuring effective resolution of claims through expert knowledge and adherence to healthcare regulations.
Responsibilities
- 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
Requirements
- Four years experience in healthcare billing, collections, payment processing, or denials management (denials management experience preferred)
- Understands or has worked in 3+ areas of healthcare such as billing and collections and denials or registration and billing and collections preferred
- Healthcare certification (CRCR, CRCS, CHAA) preferred
- Bachelors Degree preferred
- Previous experience in DRG, ICD-10, CPT-4 and UB04/CMS-1500 claim billing
- Knowledge of legal documents, contract documents, and collection agency procedures and legal procedures
- Previous experience in Microsoft Office and experience with billing and claims management software
- Previous 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 for denials and appeals, Federal and State regulations relating to denials and appeal and Fair Debt Collection Practices
- Must be able to communicate effectively in English (verbal/written)
Benefits
- front loaded PTO
- 100% INTEGRIS Health paid short term disability
- increased retirement match
- paid family leave
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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