Employment Opportunities

General Description

Responsibilities

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Reviews accounts and makes recommendations to the Financial Director.
• Performs various collection actions including correcting and resubmitting claims to third party payers.
• Participates in educational activities and attends staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Prioritizes and batches material for data entry.
• Completes information analysis for procedures and reports.
• Inputs information from a variety of sources into billing software.
• Serves as the primary contact for all data entry.
• Other duties as assigned by direct supervisor.

Education Requirements and qualifications

• Associates degree or equivalent with 2-4 years of experience in medical records and/or medical data entry. 
• Three years’ experience in a fast paced medical office setting is desirable.
• Certification in medical reimbursement specialist. 

• Knowledge of the third party claims generation and accounts receivable process.
• Knowledge of business office procedures and medical billing practices.
• Comprehensive knowledge of Medicare/Medicaid and Social Security benefits rules and regulations.
• Knowledge of private insurance payments systems.
• Analytical or administrative experience in the Business Office field interpreting and applying Business Office principles, concepts, regulations and practices.
• Capable of high volume data entry. 
• Ability to communicate effectively orally and in writing; ability to relate well with co-workers and the general public.
• Ability to adjust to changing conditions.
• Must be computer literate required (Windows operating systems – Microsoft Word, Excel). 
• Must have a valid Oklahoma Driver’s License
• Must be able to pass a background check and drug screen.