Job Description A billing specialist ensures accurate financial reimbursement for medical services by submitting insurance claims (CMS-1500/UB-04), verifying eligibility, and managing denials. They resolve billing issues, communicate with payers and patients, review remittance forms to verify proper reimbursement, and maintain compliance with

HIPAA Key Responsibilities Claim Submission:

Scrub, prepare, and submit clean, accurate claims to insurance providers (Medicaid, private insurers).

Insurance Verification:

Confirm patient eligibility and benefits.

Denial Management:

Research, appeal, and resolve denied or rejected claims.

Revenue Cycle Management:

Post payments and reconcile accounts.

Patient Communication:

Contact patients for additional information or confirmation of information.

Required Skills & Qualifications Technical Skills:

Proficiency with electronic health records (EHR) and billing software.

Verbal Communications skills:

Must have verbal communication skills and hearing ability to discuss billing with medical staff, patients, and Medicaid staff.

Basic Math:

Easily able to calculate and identify discrepancies

Analytical Ability:

Strong attention to detail for identifying billing errors and reviewing patient accounts.

Experience/Education:

High school diploma/GED required, with 2+ years of experience in a medical office setting preferred

Organizational:

Organizational skills and ability to establish priorities. Common Performance Metrics Daily/weekly/monthly production goals (e.g., number of claims processed). Reduction of days in Accounts Receivable (A/R). Accuracy of claim submission to reduce denial rates. Physical Requirements • Prolonged periods of sitting at a desk and working on a computer • Must be able to lift up to fifteen pounds at times. Benefits 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to

Commute:

McAlester, OK 74501 (Required) Ability to

Relocate:

McAlester, OK 74501: Relocate before starting work (Required)

Work Location:

In person

Job Type:

Full-time Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to

Commute:

McAlester, OK 74501 (Required) Ability to

Relocate:

McAlester, OK 74501: Relocate before starting work (Required)

Work Location:

In person