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Full-Time

Medical Billing Specialist I or II

Confirmed live in the last 24 hours

Oklahoma State Government

Oklahoma State Government

201-500 employees

Education
Government & Public Sector

Compensation Overview

$38.8k - $45.3kAnnually

Junior, Mid

Oklahoma, USA

Eligible for Telework / Hybrid Telework, subject to OSDH policy and supervisor’s discretion.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Level I: Two (2) or more years of experience in a medical or behavioral health office or an associate’s degree in a related field or equivalent combination of education and experience. Substituting six semester hours completed at an accredited college or university for each six months of the required experience or the completion of a vocational training course in medical billing.
  • Level II: Four or more years of experience in medical or behavioral health office or a bachelor’s degree in a related field and one year of experience or equivalent combination of education and experience. Substituting six semester hours completed at an accredited college or university for each six months of the required experience or the completion of a vocational training course in medical billing.
  • If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of application.
  • All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.
Responsibilities
  • Review rejected claims in the clearinghouse for errors; determine steps to resolve the errors; and take corrective action for claims resubmission.
  • Review denied claims in the clearinghouse and in Medicaid UCE files 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 the claims process and communicate verbally and in writing to supervisor for further analysis.
  • Communicate and follow up with county health department staff to assist in correcting claims at the client level.
  • Respond to inquiries in the Medical Billing inbox and that arise via phone in a professional and timely manner.
  • Attend trainings to maintain and improve medical billing knowledge and skills.
  • Assist with provider credentialing and access to provider portals.
Oklahoma State Government

Oklahoma State Government

View

Company Stage

Grant

Total Funding

$4.1M

Headquarters

Kansas City, Missouri

Founded

N/A

Growth & Insights
Headcount

6 month growth

2%

1 year growth

2%

2 year growth

2%
Simplify Jobs

Simplify's Take

What believers are saying

  • Working with the Oklahoma State Government offers opportunities to engage in impactful public service initiatives, such as disaster response and healthcare improvements.
  • The state's investment in technology and innovation, as seen with the OCAST grant for airspace management, provides a dynamic work environment.
  • Employees can benefit from the state's collaborative efforts with various organizations, enhancing professional networks and community impact.

What critics are saying

  • The political and regulatory landscape can be volatile, potentially leading to job instability or shifts in policy focus.
  • High-profile legal battles, such as the OKC's fight with regulators, may create a contentious work environment.

What makes Oklahoma State Government unique

  • The Oklahoma State Government's proactive approach in launching online services like the airline complaint form demonstrates a commitment to leveraging technology for public service.
  • Their collaboration with organizations like the Red Cross and VOAD for disaster response showcases a strong network of partnerships for community support.
  • The state's focus on specialized regulatory bodies, such as the Oklahoma Medical Marijuana Authority, highlights a tailored approach to emerging industries.