Billing Specialist
Billing Specialist
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1 Vacancy
Job Description
Job Details
Job Description
Job Purpose
The Billing Specialist oversees all areas regarding claims billing of Bethany Childrens Health Center for services and procedures rendered in inpatient and outpatient areas including medical therapy telemedicine and ancillary claims. The Specialist ensures that billing operations are accurate and efficient and that they conform to the generally accepted principles in the field.
Essential Duties & Responsibilities
Duty
Percent of Time
Assures inpatient and outpatient claims are processed correctly and sent to the proper payment entity in a timely manner.
45%
Audits claims to ensure accurate claims submission and payment in accordance with the services provided contracts and Medicaid fee schedules. Submits secondary claims to Medicaid.
25%
Completes Accounts Receivable follow-up by review of accounts receivable aging reports and Identifies and trouble shoot denials outstanding or unpaid claims.
5%
Assures patient statements are accurate and sent timely and handles patient account inquires.
5%
Reconcile payment entries with the Accounting Departments deposit.
5%
Assist with and prepare medical records for submission on claim appeals and resubmissions.
5%
Responsible for Oklahoma State Discharge Report.
5%
Other duties as assigned.
5%
Qualifications
Education:
High School Diploma or equivalent
Experience:
1 years of experience in medical billing and claims processing of Commercial Insurance preferred Medicaid and other billing forms required.
1 years of experience in a healthcare environment preferred.
License/Certification/Credential
n/a
About Us
Our work begins where we are all equal - at the heart.
Bethany Childrens Health Center is an innovative leader in the field of pediatric rehabilitation and 24-hour complex care. The hospital offers inpatient and outpatient services for children (ages 0-21) and is the only inpatient pediatric rehabilitation facility in Oklahoma. Our CARF accredited multidisciplinary team works with patients and their families to maximize the patients physical and cognitive potential and ensure the family has the training and resources needed for a smooth transition from hospital to home. In 2021 the hospital received accreditation fromThe Healthcare Facilities Accreditation Program (HFAP) the nations original independent accreditation program recognized by the Centers for Medicare and Medicaid Services (CMS). This distinction confirms that Bethany Childrens Health Center is providing high quality patient care as determined by an external process of evaluation.
In order to maximize the potential of every child we must maximize the potential of every employee. We are committed to providing staff with the physical emotional spiritual financial and mental resources necessary to achieve their potential and meet our standards of excellence. BCHC offers competitive compensation benefits state-of-the-art equipment and wellness programs. Opportunities for professional growth include in-service training leadership development tuition reimbursement and scholarships.
**Due to the nature of our pediatric services this organizations positions are classified as safety-sensitive roles. Bethany Childrens Health Center may refuse to hire an applicant or discharge an employee in a safety-sensitive position who tests positive for marijuana even if the applicant or employee holds a valid Oklahoma medical marijuana license.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
