Medicaid Reimbursement & Eligibility Specialist – OKC/Norman

Family & Children’s Services; Norman (OK); On-site; USD 42,000 - 56,000; Full time

Job summary

Family & Children’s Services seeks a Reimbursement Specialist for the OKC/Norman area. On-site, full-time role focusing on timely, accurate reimbursement by maintaining client eligibility data and resolving issues before claims submission.

Work with clinicians to improve processes, efficiency, and productivity. Responsibilities include generating reports, verifying data, and collaborating across the agency to ensure compliant billing.

Qualifications

• Must have a high school diploma or equivalent.
• Minimum of two years’ Medicaid and ODMHSAS eligibility verification, billing and authorizations in outpatient behavioral health.
• Experience with Medicare and other third party billings is a plus.

Responsibilities

• Generate and complete assigned reports using the EHR, Report Manager, and PICIS, per schedule.
• Verify and update client data in the EHR to ensure accurate data submitted to guarantors and state agencies.
• Collaborate with agency staff and outside entities to correct errors and assist staff.
• Execute tasks following departmental processes and meet department goals.
• Review clinicians’ daily billing reports for accuracy.
• Recommend updates or process improvements to capture billing timely.

Skills

Medicaid eligibility

HIPAA compliance

Excel proficiency

Data accuracy

Communication

EHR systems

Education

High school diploma or equivalent

Tools

Report Manager

PICIS

Electronic Health Record (EHR) system

Job description

Family & Children’s Services seeks a Reimbursement Specialist for the OKC/Norman area. On-site, full-time role focusing on timely, accurate reimbursement by maintaining client eligibility data and resolving issues before claims submission.

Work with clinicians to improve processes, efficiency, and productivity. Responsibilities include generating reports, verifying data, and collaborating across the agency to ensure compliant billing.