Medical Reimbursement Specialist

This position has been filled.

Public?: 

Public

Division: 

Health

Reports To: 

Financial Services Director

Type of Position: 

Regular Full Time

Location: 

Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026

General Description

Manages and coordinates all Insurance benefits to ensure patient responsibility. Works alongside health care professionals processing patient insurance and payment plans. Medical reimbursement specialists must have an attentiveness to detail, accuracy and must possess organization skills.

Responsibilities & Duties

 
  • Coordination of resources, including primary and secondary third party payers.
  • Obtains precertification and prior authorization of required medical services from third party payers.
  • Maintaining a professional and confidential working environment.
  • Explain insurance benefits, policy requirements, and filing rules to patients.
  • Research and apply knowledge of all insurance rules and regulations for major insurance programs in the local or regional area.
  • Enter patient data into appropriate database and update and maintain accurate files.
  • Ensure client confidentiality and compliance with HIPAA regulations.
  • Determine the protocol that identifies a responsible party’s monetary responsibility in health insurance claims.
  • Verify all patients insurances.
  • Obtain Authorizations as required by insurance carriers.
  • Collect all Co-pays, Coinsurance and Deductibles.
  • Other duties as assigned.

Qualifications

Native American Preference/EEO/Drug Free /Smoke Free Workplace
 
  • High School Diploma or GED.
  • At least three years of medical office experience with a Certificate in Medical Coding and Billing or a Certified Medical Reimbursement Specialist.
  • Experience in working with third-party resources such as Medicare, Medicaid and Private Insurance, Contract Health or Coordination of Benefits, medical records, reception and patient registration a must.
  • Knowledge of billing procedures and insurance verification.
  • Knowledge of medical terminology and medical insurance claims processing.
  • Knowledge of medical software is a must to access and interpret patient data.
  • Must be computer literate.
  • Must possess the ability to communicate effectively verbally and written.
  • Must be self-motivated and have the ability to prioritize work tasks with good organizational skills.
  • Must have excellent customer service skills.
  • Must have a valid driver’s license.
  • Must be able to pass a background check and drug screen.
 
 

Posted Date: 

3 months 1 week ago