Reimbursement Specialist

Family & Children's Services Career Center • Tulsa, OK

14h • Onsite

About The Position

Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information and resolving errors before claims are filed. Work closely with clinicians to improve processes, efficiencies, and productivity.

Requirements

• Must be a high school graduate or have HS equivalent
• Minimum of two years’ experience with Medicaid and ODMHSAS eligibility verification, billing, and authorizations within an outpatient behavioral health setting.
• Proficient in communication, internal and external customer service, and time management.
• Strong organizational skills and attention to detail is a must.
• Ability to function independently and to maintain an effective working relationship with agency employees.
• Must be efficient, timely, and accurate in all duties and responsibilities.
• Must conduct self professionally, maintain confidentiality, and have strong computer skills, including proficiency in Excel.

Nice To Haves

• Experience with Medicare and other third party billings is a plus.

Responsibilities

• Generate and complete assigned reports, adhering to established schedules and completion timelines, utilizing the electronic health record system, Report Manager, and PICIS.
• Ensure accuracy of data submitted to guarantors and state agencies, by reviewing, verifying, and updating client information in electronic health record system, including demographics, financial eligibility, services, diagnoses, and authorizations.
• Communicate and collaborate with other agency staff and outside entities, in order to correct errors, resolve issues, and provide assistance to staff both within the department and throughout the agency.
• Execute all assigned tasks, following departmental processes and procedures, and meeting all goals as set forth by the department.
• Review all clinicians daily billing reports to ensure accuracy.
• Make recommendations for updates, changes or process improvements in order to capture available billing in timely manner for program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED