Employment Opportunities
A/R Specialist I
This position is currently open.
Public?:
Public
Division:
Health
Reports To:
A/R/Billing Manager
Type of Position:
Regular Full Time
Location:
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
General Description
This position is located at the Absentee Shawnee Tribal Clinic- Little Axe Clinic in Norman, Oklahoma. The Clinics are an outpatient multi-disciplinary clinic established and managed by the Absentee Shawnee Tribe of Oklahoma. The Accounts Receivable Specialist ensures timely and accurate collection of payments for healthcare services provided by the clinic. This role is responsible for monitoring patient and insurance accounts, posting payments, reconciling balances, following up on outstanding claims, and managing patient billing inquiries. The specialist works closely with billing, coding, and clinical teams to support efficient revenue cycle operations, maintain compliance with financial policies, and deliver excellent customer service in all patient financial interactions. Attendance is essential to achieving success in this role. Consistently showing up reflects reliability, dedication, and a readiness to meet the responsibilities and expectations required for effective performance. Employees are expected to carry out their duties with focus, contribute to a collaborative and respectful environment, and avoid actions that may disrupt team dynamics or productivity. Upholding professionalism and cultivating a positive and cooperative atmosphere are fundamental to excelling in this position.
Responsibilities & Duties
Post payments and adjustments in billing software using the Explanation of Benefits (EOBs) and Remittance Advice (RA) as reference document.
Verify, and audit updated financial transactions.
Respond to correspondence received from insurance carriers or patients.
Manage/Reconciled denied claims appropriately and file appeals if needed.
Make outbound calls to insurance companies to research and gather necessary information for successful claim resolution.
Back up for retrieving mail daily.
Make appropriate decisions on accounts to be worked to maximized reimbursement.
Identify any problems/trends and communicate them to the direct supervisor for resolution.
Communicate procedures for processing changed that may increase revenue from insurance carriers.
Maintain patient confidence and protects medical office operations by keeping patient information confidential.
Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives.
Provide requested information as assigned, creates or generates related reports or locate and pull requested information for drafts or documentation.
Gather all paper check to be deposited.
Enter data monthly in accounting software.
Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment.
Safeguard confidentiality of the medical charts/electronic health records and complies with all local, state, and federal laws pertaining to medical records.
Assure compliance with all HIPAA regulations concerning use, retrieval, storage, and sharing of medical records.
Perform other related duties as assigned.
EDUCATION REQUIREMENTS AND QUALIFICATIONS
Education and Qualifications
High School Diploma / Some College Preferred.
1-3 years of previous medical billing/coding experience within a healthcare environment.
Possess knowledge of ICD-10 and CPT coding.
Knowledge, Skills and Abilities
Ability to produce detailed work accurately and efficiently.
Excellent organizational skills.
Analytical and problem-solving skills.
Knowledge of claim denials, adjustments, and write-offs.
Knowledge of collection procedures.
Knowledge of various payer groups (Medicaid, Medicare, Private insurance)
Outbound phone experience.
Basic computer skills.
Intermediate web navigation skills.
Experience writing correspondence.
Must have a valid Oklahoma Driver’s License.
Must be able to pass a background check and drug test.
Physical Requirements and Working Conditions
Must be able to sit, stand, stoop, bend or kneel for long periods of time.
Prolonged sitting, standing, or walking; occasional bending, squatting, kneeling, and stooping; good finger dexterity and sensory perception; frequent repetitive motions; as well as talking, hearing, and visual acuity are required.
Frequent lifting (up to 15 lbs)
Occasional lifting (up to 30 lbs)
Native American Preference/EEO/Drug Free/Smoke Free Workplace
Posted Date:
3 weeks 1 day ago