Full-Time
Reimbursement AR Analyst
Posted on 2/1/2025
Oklahoma State Government
201-500 employees
Manages state-funded health care costs and quality
Compensation Overview
$41.5k - $49.8kAnnually
Junior, Mid
Norman, OK, USA
You match the following Oklahoma State Government's candidate preferences
Employers are more likely to interview you if you match these preferences:
- Two years of technical experience which included the processing and/or payment of insurance claims for Level I
- Two years of technical experience which included the processing and/or payment of insurance claims and two years of experience in subrogation or reimbursement in an insurance setting for Level II
- Two years of technical experience which included the processing and/or payment of insurance claims and four years of experience in subrogation or reimbursement in an insurance setting for Level III
- A current adjuster's license in the area of casualty/liability claims may substitute for two years of experience in subrogation or reimbursement in an insurance setting
- Managing the billing/reimbursement process
- Researching and reviewing claims and other information to identify possible third-party responsibilities
- Initiating appropriate action to recover funds paid for various medical expenses and other costs
- Coordinating patient admissions to determine eligibility for benefits
- Maintaining enrollment with Medicaid, Medicare, and other third-party network providers
- Coordinating with payors and ensuring compliance with federal and state laws, rules, and regulations
- Completing billing cycles and updating patient accounts
- Using available resources to investigate claim situations and facilitate payments
- Gathering support documentation to submit appeals and analyze various reports
- Experience in a medical or behavioral health office setting
The Oklahoma Health Care Authority (OHCA) manages the costs of health care funded by the state in Oklahoma. It ensures that the health care services provided meet acceptable standards while also creating a supportive system for citizens who rely on these services. OHCA's main functions include purchasing health care efficiently, analyzing ways to improve access and quality, and building partnerships to enhance health outcomes for Oklahomans. The agency serves low-income individuals, families, and other vulnerable groups who depend on state-funded health care. Unlike private health care providers, OHCA focuses on cost control, quality assurance, and accessibility within the public health sector. Its goal is to responsibly allocate state and federal funds to procure necessary health care services while maintaining fiscal responsibility and improving overall health outcomes.
Company Stage
Grant
Total Funding
$4.1M
Headquarters
Kansas City, Missouri
Founded
1953
Simplify's Take
What believers are saying
- Telehealth expansion improves accessibility and reduces costs for state-funded health care.
- Value-based care models incentivize quality, improving outcomes and controlling costs.
- Medicaid expansion increases funding and coverage options, enhancing access to care.
What critics are saying
- Potential federal funding cuts could impact OHCA's service levels.
- Leadership changes may lead to instability and affect health care initiatives.
- Increased demand from reduced DDS waitlist may strain OHCA's resources.
What makes Oklahoma State Government unique
- OHCA focuses on cost control and quality assurance in state-funded health care.
- The agency serves diverse populations, including low-income and vulnerable groups.
- OHCA fosters strategic partnerships to improve health outcomes for Oklahomans.
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Benefits
Remote Work Options
Flexible Work Hours