Job Description
Job Description
Medical Billing Specialist
Location: Tulsa, OK
Schedule: Monday–Friday
Pay:$18-$20/hour
Position Summary:
The Medical Billing Specialist is responsible for accurately managing the billing cycle, ensuring timely submission of claims, resolving denials, and supporting revenue cycle efficiency within a busy medical practice. This role requires strong attention to detail, excellent communication skills, and a solid understanding of medical billing processes.
Responsibilities
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Prepare and submit clean claims to insurance companies electronically and by paper.
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Verify insurance coverage, benefits, and authorization requirements.
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Review patient accounts for accuracy and completeness prior to billing.
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Follow up on unpaid claims, denials, and appeals to ensure timely reimbursement.
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Post payments, adjustments, and refunds into the billing system.
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Reconcile daily, weekly, and monthly billing reports.
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Communicate with patients regarding balances, statements, and billing inquiries.
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Maintain confidentiality and compliance with HIPAA regulations.
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Work collaboratively with providers, front office staff, and insurance representatives.
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Resolve billing discrepancies and identify opportunities for process improvements.
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Assist with month-end reporting and overall revenue cycle management tasks.
Qualifications
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Previous experience in medical billing or revenue cycle management required.
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Familiarity with CPT, ICD-10, and HCPCS coding.
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Knowledge of insurance plans, prior authorizations, and EOBs.
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Proficiency in EMR/EHR systems and billing software.
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Strong communication, organizational, and analytical skills.
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Ability to manage multiple tasks and meet deadlines.
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High level of accuracy and attention to detail.
Preferred Skills
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Experience in specialty or high-volume clinic billing.
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Prior experience handling appeals and complex denials.
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Knowledge of Oklahoma Medicaid and major insurance carriers.
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* Verify accuracy of billing data and revise any errors.
* Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
* Resolve discrepancies in accounting records.
* Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
* Operate typing, adding, calculating, or billing machines.
* Post stop-payment notices to prevent payment of protested checks.
* Verify signatures and required information on checks.
* Keep records of invoices and support documents.
* Weigh envelopes containing statements to determine correct postage and affix postage, using stamps or metering equipment.
* Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.
* Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
* Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
* Monitor equipment to ensure proper operation.
* Route statements for mailing or over-the-counter delivery to customers.
* Contact customers to obtain or relay account information.
* Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
* Consult sources, such as rate books, manuals, or insurance company representatives, to determine specific charges or information such as rules, regulations, or government tax and tariff information.
* Compare previously prepared bank statements with canceled checks and reconcile discrepancies.
* Match statements with batches of canceled checks by account numbers.
* Take orders for imprinted checks.
* Encode and cancel checks, using bank machines.
* Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
* Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.