Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.
Responsible for resolving Medicaid denied claims and entering Medicaid secondary claims onto the Oklahoma Health Care Authority (OHCA) portal.
Essential Functions
- Recognize and track Medicaid denial trends.
- Research how to resolve Medicaid denial issues.
- Enter claims onto the Medicaid portal.
- Identify delinquent accounts, aging period, and payment sources.
- Review accounts for possible assignment to a collection agency or other account determination.
- Respond to patient/payer inquiries in a timely manner.
- Follow up on unpaid or improperly paid claims as necessary.
- Review and monitor select accounts within the accounts receivable.
- Ensure patient confidentiality and follow HIPAA guidelines.
- Promote a professional image by adhering to the established dress code.
- Check and resolve assigned tasks in the EHR program.
- Assist co-workers as needed.
- Maintain a neat work area and be productive during downtime.
- Maintain emotional control, diplomacy, and open communication at all times.
- Report to work on time and maintain attendance within company policy.
- Read new policies and documents as instructed.
- Adhere to company policies and procedures.
- Use equipment and supplies efficiently to limit waste, spoilage, or damage.
Work Schedule
Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday, and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending on department and clinic needs.
Physical Requirements
- Ability to work effectively in a fast-paced environment.
- Ability to sit, perform data entry, and view a computer screen for long periods.
- Daily standing, walking, bending, and maneuvering.
- Occasional exposure to communicable diseases and biohazards.
- May require lifting up to 50 pounds or more to transfer and/or turn patients with and without assistive devices.
Other Duties
This job description is not intended to be a comprehensive list of all duties, responsibilities, or activities. Duties may change at any time with or without notice.
Equipment Operated
- Computers
- Printers
- Fax machines
- Copiers
- Postage machine
Qualifications
- High school diploma or GED required.
- Six to twelve months of directly related training and/or billing experience in a health care organization is typically required.
Knowledge
- Medical billing and collection practices.
- Basic medical coding.
- Third-party payer operating procedures and practices.
- Medicare requirements.
Skills
- Proficient with computer programs.
- Ability to troubleshoot insurance claims and problems.
- Ability to establish and maintain effective internal and external working relationships.
Abilities
- Ability to accurately enter data and examine insurance documents.
- Ability to deal courteously with patients, staff, and others.
- Ability to communicate effectively and clearly.
Location
Oklahoma, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago