Medical Claims Technician

Oklahoma Mental Health Council; Oklahoma City (OK); Presencial; USD 36.000 - 48.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health Insurance

Dental & Vision Insurance

Retirement Plan

Student Loan Repayment

Employee Assistance Program

Paid Time Off

Holidays

Descripción de la vacante

Red Rock Behavioral Health Services in Oklahoma City is seeking a Finance Full Time role focused on researching insurance claim denials and assessing claim validity. The position includes rebilling when needed to secure accurate payments and reduce days in accounts receivable.

You will collaborate with the Business Office and clinical staff to resolve coverage issues, maintain AR under 120 days, and uphold high standards of integrity in claims processing.

Formación

• One year of experience with insurance billing and claims research preferred
• High school or equivalent with emphasis on business related courses
• Ten key, computer/data entry, spreadsheets, and word processing
• Excellent verbal and written communication skills
• Ability to multi-task and meet deadlines
• Detail oriented and organizational skills

Responsabilidades

• Researches denial of claims and rebills to maximize payment
• Communicates with Business Office or clinical staff regarding coverage and denials
• Maintains aged A/R of less than 120 days
• Performs other duties as required

Conocimientos

Communication skills

Analytical thinking

Problem solving

Multi-tasking

Detail oriented

Organizational skills

Teamwork

Independent work

Educación

High school diploma or equivalent

Herramientas

Ten-key data entry

Spreadsheets

Word processing

Descripción del empleo

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Finance Full Time Oklahoma City, OK, US

SUMMARY

Researches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Researches denial of claims, evaluates and rebills as necessary in an effort to ensure the maximum accurate payment and reduce the number of A/R days
• Communicates with Business Office or clinical staff regarding coverage and denials, if appropriate
• Sustains aged A/R of less than 120 days
• Maintains a high level of integrity and commitment to accurate claims processing
• Performs other duties as required

QUALIFICATIONS

• One year of experience with insurance billing and claims research preferred
• High school or equivalent with emphasis on business related courses
• Ten key, computer/data entry, spreadsheets, and word processing
• Communication, analytical and problem solving skills
• Ability to multi-task and meet deadlines
• Detail oriented and organizational skills
• Excellent verbal and written communication skills
• Ability to work independently and collaboratively within a team environment
• Commitment to the mission of Red Rock BHS

PHYSICAL REQUIREMENTS

• Must have the ability to stand or sit for long periods of time
• Must have the ability to lift, push, or pull a minimum of 25 pounds
• Ability to travel approximately 10% of the time
• Ability to use telephone, PC, fax machine, copy machine, and printer

HOW WE TAKE CARE OF YOU!

• We pay a generous portion of your Health Insurance
• Low-cost Dental and Vision Insurance
• Retirement Plan with employer contributions equal to 5% of annual salary
• Student Loan Repaymentoptions
• No cost Employee Assistance Plan
• 3 Weeks Paid Time-Off (increases annually between years 2-10)
• 9 Paid Holidays
• 1 Floating Holiday to use at your discretion.
• 4 Rest and Relaxation days
• 3 days of Education Leave
• 4 hours of Volunteer Leave
• Eligible for Pay Increases and Bonuses annually
• Employer Paid Long-Term Disability and Life Insurance

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.