Job Posting Title

Medical Billing Specialist I or II

Agency

340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization

340 Records and Community Health Systems

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time

Full time

Job Type

Regular

Compensation

The annual salary for this position is up to $53,600.00, based on education and experience.

Why you’ll love it here!

RESPECT. COLLABORATION. SERVICE. The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. Check out why we are passionate about public health and believe it is the career for you!!!

Oh yeah, did we mention perks? We know that benefits matter and that is why we offer a competitive benefits package for all eligible employees.

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

Job Description

Location: Central Office

Salary: up to $53,600.00, based on education and experience

Full Time /Part Time: Full time

Work Schedule: Monday to Friday

Primary Hours: 8:00 am to 5:00 pm

 

Position Description: The Medical Billing Specialist is responsible for the outpatient billing cycle for client services rendered at the county health departments. Reviews and submits medical claims to third-party payers. Researches and determines appropriate actions for correcting rejected and denied medical claims. Reconciles claims and posts any adjustments, transfers, and/or payments to patient accounts. Assists in identifying medical billing issues that require further attention.

Level II: At this level of work, may assist in training county health department staff on various aspects of medical billing, and is involved in quality improvement.

Position Responsibilities/Essential Functions:

Responsibility and skill set will vary by level, but may include the following:

• Review/scrub claims prior to submission to improve clean claim submission rate.

• Review rejected claims for errors; determine steps to resolve the errors; and take corrective action for claims resubmission.

• Review denied claims for denial reasons; determine steps necessary for successful claims submission based on those reasons according to payer contracts and requirements; and take corrective action to resubmit claims for maximum reimbursement.

• Provide centralized facilitation and monitoring of requests for prior authorizations for services when required by payer contracts.

• Enter payment and non-payment data from remittance advice (RA) to reconcile claims in the billing system, which includes identifying and documenting the appropriate adjustment or non-payment reason; file paper RAs.

• Identify and troubleshoot anomalies and possible errors in th