Billing Office Specialist - Breast Health Network - Edmond

OU Health•Edmond, OK

About The Position

The Billing Office Specialist for the Breast Health Network verifies insurance coverage and obtains authorizations and precertifications for scheduled appointments for new and established patients while supporting patient satisfaction and quality. The role provides customer service to patients and providers, researches and resolves billing inquiries, assesses patient financial responsibility, and supports payment collection and assistance programs. It also maintains billing and insurance records, documents patient and call activity, supports office operations, and coordinates with colleagues to provide high-quality patient care.

Requirements

High school diploma or GED.
At least one year of professional work experience.
Ability to communicate effectively with patients, clinical and administrative staff, and the public, and to promote exemplary customer service.
Prioritization, problem-solving, organizational, and detail-oriented skills.
Ability to work independently with limited supervision and function effectively in a team.
Ability to work effectively in a fast-paced, changing environment with multiple priorities and objectives.
Ability to resolve conflicts professionally and evaluate processes and procedures for continuous improvement.
Intermediate word-processing, spreadsheet, and computer software skills; ability to use computer systems and applications.
Knowledge and understanding of medical terminology and familiarity with medical practice terminology.
Knowledge of or experience with Medicaid/Medicare programs.
Knowledge of organizational policies, procedures, systems, objectives, and clinic office procedures.
Ability to use proper grammar, spelling, punctuation, and sentence structure in correspondence and reports.
Ability to plan, organize, and oversee workflow and operate office equipment.
Ability to interpret, adapt, and apply guidelines, policies, and procedures, and react calmly and effectively in emergencies.
No license, certification, or registration is required.

Nice To Haves

Two or more years of experience in a medical office.
One year of collections experience.

Responsibilities

Answer incoming customer-service calls and resolve inquiries from providers and patients about billing, eligibility, enrollment, provider networks, benefits, appeals, and grievances; triage calls according to procedures and maintain detailed call logs.
Generate insurance verification and precertification reports as requested.
Contact insurance companies regarding patient benefits and precertification requirements.
Use insurance and billing programs, including Passport, Artiva, Onbase, and Host, to research and resolve patient billing inquiries and establish up-front payment arrangements.
Complete financial analyses, collect estimated patient liabilities, and provide estimates to patients or physicians as requested.
Assist front-office staff with point-of-service collections when applicable.
Help patients arrange payments and complete charity applications; work with outside agencies to assist patients with Medicaid and state-aid applications.
Enter notes in the collections system for all patient encounters.
Maintain a journal of cash and credit-card payments and provide backup cashiering as needed.
Maintain patient billing files, records, other information, and insurance files reflecting updates and changes.
Identify, analyze, and resolve work problems; forward problems or concerns to the Administrative Services Manager.
Maintain a professional image and provide excellent customer service; ensure patients are treated courteously and visitors are screened and directed appropriately.
Coordinate with other staff to support high-quality patient care and handle patient complaints appropriately.
Perform selected administrative duties and compile and condense statistical data for reports and records.
Ensure offices are opened and closed according to established procedures.
Participate in professional development activities.
Perform other duties as required and assigned.