Medicare/Medicaid A/R Specialist

Medicare/Medicaid A/R Specialist Trinity Employment Specialists

• 4.6 Tulsa, OK Job Details Full-time $20
• $23 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Medicare Full Job Description Medicare / Medicaid A/R Specialist
• Oncology Clinic Location Tulsa, OK
• In Person Pay $20.00
• $23.

00 per hour, depending on experience Schedule Full-Time | Monday-Friday | Day Shift Position Summary A busy oncology clinic is seeking an experienced Medicare/Medicaid Accounts Receivable Specialist to join their revenue cycle team. This position is responsible for managing and resolving outstanding Medicare and Medicaid claims while ensuring timely reimbursement and accurate account resolution. The ideal candidate will have strong knowledge of insurance follow-up, denial management, claims resolution, and payer communication, with specific experience working Medicaid accounts. Due to changes within Oklahoma Medicaid and the Managed Care Organization (MCO) model implemented in 2024, this role requires someone who is adaptable, detail-oriented, and comfortable navigating complex payer requirements. This is an excellent opportunity for someone who thrives in a fast-paced medical environment and enjoys problem-solving within revenue cycle operations. Essential Duties & Responsibilities Follow up on outstanding Medicare and Medicaid claims to ensure timely reimbursement Investigate and resolve denied, rejected, or underpaid claims Work Medicaid accounts extensively, including Oklahoma Medicaid MCO plans Review EOBs, remittance advice, and payer correspondence for accuracy Submit claim corrections, reconsiderations, and appeals as needed Communicate with insurance companies regarding claim status and payment issues Maintain accurate account documentation within billing systems Identify trends impacting reimbursement and escalate issues appropriately Collaborate with billing, coding, and clinical staff to resolve claim discrepancies Ensure compliance with payer guidelines and clinic policies Qualifications Minimum of 2 years of medical accounts receivable or insurance follow-up experience preferred Previous Medicare and Medicaid A/R experience required Experience working with Oklahoma Medicaid and/or Medicaid MCO plans strongly preferred Oncology billing or specialty clinic experience preferred Strong understanding of medical billing, claims processing, and denial resolution Knowledge of EOBs, appeals, authorizations, and payer guidelines Proficiency with EMR and medical billing software systems Skills & Abilities Strong attention to detail and organizational skills Excellent problem-solving and critical-thinking abilities Ability to manage high-volume workloads efficiently Effective verbal and written communication skills Ability to work independently and collaboratively within a team environment Strong time management and follow-through skills Benefits Competitive compensation Health, dental, and vision insurance Paid time off 401(k) Supportive team environment #

HP TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER

See the great things people are saying by checking out our Google reviews, along with our Facebook, LinkedIn, Instagram, X/Twitter. Please visit the Career Center on our website for some helpful resources to help in your job search, to build a resume, for interview tips and many job opportunities! Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods. Verify accuracy of billing data and revise any errors. Resolve discrepancies in accounting records. Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered. Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services. Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due. Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems. Monitor equipment to ensure proper operation. Route statements for mailing or over-the-counter delivery to customers. Contact customers to obtain or relay account information. Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods. Keep records of invoices and support documents. Verify signatures and required information on checks. Post stop-payment notices to prevent payment of protested checks. Operate typing, adding, calculating, or billing machines. #HP1