Billing Specialist Insurance Specialist /

Patient Billing & Customer Service Location:

North Oklahoma City, OK (On-Site)

Schedule:

Full-Time, Monday-Friday

Pay:

$19-$21/hour Position Overview

Responsible for insurance verification, benefits investigation, patient billing support, DME and sleep study insurance estimates, accounts receivable follow-up, and patient/customer service for Oklahoma and Texas locations. This position works closely with the scheduling, front desk, resupply, billing, and clinical teams to ensure accurate insurance information and timely patient account updates. Position Requirements

Strong knowledge of health insurance plans, eligibility, benefits, deductibles, copays, coinsurance, and out-of-pocket requirements.

Ability to interpret insurance benefits and determine patient financial responsibility.

Experience working with insurance portals and/or insurance companies by phone.

Strong understanding of patient billing, insurance claims, DME billing, rental processes, and compliance requirements.

Excellent attention to detail and ability to manage a high-volume workload.

Ability to prioritize time-sensitive tasks while handling frequent schedule changes and patient inquiries.

Experience with Athena and familiarity with DME/sleep study billing processes. Key Responsibilities

Insurance Verification & Benefits

Review the upcoming daily schedule for all providers, DME, and sleep study appointments and verify active insurance coverage.

Verify patient benefits through insurance portals and/or by contacting insurance companies directly.

Complete insurance verification forms (IVFs), including:

In-network/out-of-network status

Deductibles

Copays

Coinsurance

Patient out-of-pocket maximums

DME benefits and applicable codes

Prior authorization requirements

Complete insurance verification for both primary and secondary insurance plans.

Update patient charts with current insurance information and benefit details.

Determine estimated patient responsibility for office visits and/or sleep studies and document amounts on the daily appointment schedule.

Daily Schedule Management

Maintain insurance verification approximately one week ahead of the scheduled appointment date.

Monitor daily schedules for add-on appointments and complete insurance verification for patients added after the original schedule has been worked.

Complete additional verifications when patients arrive without current insurance information and are required to provide updated cards at check-in.

Review newly scanned insurance cards, remove outdated insurance information, enter updated coverage into Athena, verify eligibility, and communicate coverage/benefit information back to the Front Desk.

Coordinate with the Front Desk regarding insurance changes and eligibility issues to help ensure patients are properly checked in and billed.

Complete add-on insurance verifications at the end of the week as part of the schedule scrub process.

DME Insurance Verification & Estimates

Responsible for completing insurance verification for all patients on the Oklahoma DME track.

Monitor DME track updates and complete patient DME estimates promptly when new patients are added.

Average DME insurance verifications are approximately 30 every two days.

Average overall insurance verifications are approximately 40 per day.

Resupply Support

Assist the Resupply Department with insurance questions and eligibility/benefit verification.

Research UAB accounts for potential resupply use and assist with resupply billing questions.

Provide support and clarification regarding insurance coverage and patient account information.

Patient Billing & Customer Service

Answer patient billing calls for both Oklahoma and Texas locations.

Explain patient account balances, insurance processing, DME rental processes, compliance requirements, rental payment obligations, and stopped rentals.

Assist patients with insurance changes and explain how updated insurance information affects their accounts.

Review patient ledgers and explain charges, payments, balances, and account activity in a clear and professional manner.

Average volume is approximately 10 patient billing calls per day.

Handle approximately 15 internal/co-worker calls per day related to insurance, billing, and patient accounts.

Accounts Receivable (AR)

Work the AR dashboard related to patient calls and resupply payments.

Research and resolve account discrepancies and insurance-related issues.

Update the AR dashboard with corrected account information to ensure records remain accurate and current.

Communicate account updates and resolutions with appropriate departments as needed.