Medicaid Billing Specialist

Location: Edmond, Oklahoma
Pay: $18–$24 per hour
Schedule: Monday–Thursday, 8:00 a.m.–5:00 p.m.; Friday, 8:00 a.m.–1:00 p.m.
Position Type: Full-Time
Employment Type: Contract to Hire

Position Summary

The Medicaid Billing Specialist is responsible for resolving Medicaid claim denials, submitting secondary claims through the Oklahoma Health Care Authority (OHCA) portal, and managing accounts receivable follow-up. This position supports accurate billing, timely reimbursement, and efficient claims processing.

Essential Duties & Responsibilities

• Research and track Medicaid claim denial trends.

• Investigate denied claims and determine appropriate resolutions.

• Submit Medicaid secondary claims through the OHCA portal.

• Follow up on unpaid, underpaid, or incorrectly processed claims.

• Monitor accounts receivable, outstanding balances, and aging accounts.

• Respond to patient and payer billing inquiries professionally and promptly.

• Review and resolve assigned tasks in the electronic health record (EHR) system.

• Maintain accurate billing records and documentation.

• Protect patient information and comply with HIPAA requirements.

• Communicate with coworkers and other departments to resolve billing issues.

• Follow established policies and procedures and perform other duties as assigned.

Qualifications / Requirements

• High school diploma or GED required.

• Six to twelve months of medical billing experience, healthcare billing training, or related experience typically required.

• Basic knowledge of medical billing, insurance claims, and accounts receivable.

• Computer proficiency and ability to accurately enter data and review billing documentation.

Preferred Qualifications

• Experience with Medicaid billing and secondary claims.

• Familiarity with the OHCA portal and electronic health record systems.

• Experience with insurance follow-up, claim denial resolution, and payment reconciliation.

• Knowledge of medical coding and third-party payer procedures.

Knowledge, Skills & Abilities

• Strong attention to detail and accuracy.

• Excellent communication and customer service skills.

• Strong organizational and time management skills.

• Ability to multitask, prioritize responsibilities, and meet deadlines.

• Effective research, troubleshooting, and problem-solving abilities.

• Ability to maintain confidentiality and work independently or as part of a team.

Physical Requirements

Ability to sit, perform data entry, and view a computer screen for extended periods. Occasional standing, walking, and bending may be required.

Work Environment

Office or healthcare administrative setting involving computer-based billing, documentation, and communication with insurance payers.

Benefits

To be provided by the hiring organization, if applicable.

Additional Requirements

Background check, drug screening, and vaccination requirements to be confirmed. Travel may be required based on position needs.

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