Professional Billing Specialist I

Overview

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here:

• Comprehensive Benefits:
  • Medical, Dental, and Vision coverage
  • 401(k) plan with employer match
  • Long-term and short-term disability
  • Employee Assistance Programs (EAP)
  • Paid Time Off (PTO)
  • Extended Medical Benefits (EMB)
  • Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can't wait for you to join our heart-centered team!

Responsibilities

The OHH Professional Billing Specialist position insures patient claims are produced, processed and submitted for payment accurately and timely. Completes follow-up on rejected and returned claims to insure prompt /accurate payment on accounts according to department standards. Monitors & reconciles claims submitted to payers daily. Supervises no employees. Makes independent decisions as to the management of accounts. Requires contact with the public and employees. Handles confidential information. Performs all work in accordance to the mission, vision and values of Oklahoma Heart Hospital.

• Review and correct warnings, errors, and rejects on paper & electronic claims within 48 hours of import.
• Ensure all paper claims generate by 5 PM each weekday evening.
• Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours.
• Review all research foundation claims, identifies claims needing adjustment, attachments or additional information prior to submission.
• Review and complete or deny with explanation all rebill requests within 72 hours.
• Respond to all emails with 72 hours from receipt.

Qualifications

Education: High school diploma; prefer some college

Experience : One (1) year job related experience in Health Care required. One (1) year job related experience related to claim correction and submission. Knowledge of payer rules, including Medicare, Medicaid and commercial insurance required. Good investigative skills and telephone techniques. Must have good oral and written communication skills. Proven organization skills needed.

Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care.Every team member at OHH plays an integral role in our patients' experience. Theyare the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

The OHH Professional Billing Specialist position insures patient claims are produced, processed and submitted for payment accurately and timely. Completes follow-up on rejected and returned claims to insure prompt /accurate payment on accounts according to department standards. Monitors & reconciles claims submitted to payers daily. Supervises no employees. Makes independent decisions as to the management of accounts. Requires contact with the public and employees. Handles confidential information. Performs all work in accordance to the mission, vision and values of Oklahoma Heart Hospital.

• Review and correct warnings, errors, and rejects on paper & electronic claims within 48 hours of import.
• Ensure all paper claims generate by 5 PM each weekday evening.
• Sort and review local printed claims, identifying needed documentation to include and process for mail or fax submission, documenting all actions and processing within 48 hours.
• Review all research foundation claims, identifies claims needing adjustment, attachments or additional information prior to submission.
• Review and complete or deny with explanation all rebill requests within 72 hours.
• Respond to all emails with 72 hours from receipt.

Education: High school diploma; prefer some college

Experience : One (1) year job related experience in Health Care required. One (1) year job related experience related to claim correction and submission. Knowledge of payer rules, including Medicare, Medicaid and commercial insurance required. Good investigative skills and telephone techniques. Must have good oral and written communication skills. Proven organization skills needed.

Working Knowledge: Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.