Billing Specialist

Job Title
Billing Specialist

Employment Type
Full Time

Location
5901 W. Memorial Rd, Oklahoma City OK 73142

About Us
A medical billing company in Oklahoma City dedicated to providing exceptional billing services to healthcare practices is seeking a detailed-oriented and experienced Billing Specialist to join our team.

Job Summary
The Billing Specialist will be responsible for managing the billing process for medical services, ensuring accuracy, compliance, and timely submission of claims. The ideal candidate will have a strong understanding of medical billing practices, excellent attention to detail, and the ability to work collaboratively in a fast-paced environment.

Responsibilities

• Prepare, review, and submit accurate medical claims to Medicare, Medicaid, Medicare Advantage, commercial insurance carriers, and other payers in accordance with payer and regulatory requirements.
• Review medical records, physician documentation, and other supporting documentation to validate billing information and, when applicable, assign or validate CPT/HCPCS codes, ICD-10-CM diagnosis codes, and modifiers within the scope of the position.
• Manage claim edits, rejections, unpaid claims, and denials from initial identification through resolution, including corrected claims, reconsiderations, and written appeals.
• Perform timely insurance follow-up on outstanding accounts receivable and document actions clearly and accurately in the billing system.
• Assist in resolving patient billing inquiries and discrepancies.
• Maintain current knowledge of Medicare, Medicaid, commercial payer, and specialty-specific billing requirements, regulations, and industry best practices.
• Work collaboratively with providers, clinical staff, coding resources, client contacts, and internal team members to obtain documentation or clarification needed for accurate and timely billing.
• Recognize potential underpayments, incorrect contractual adjustments, coding or billing discrepancies, and payer processing errors and escalate them for further review when appropriate.
• Assist with development and implementation of billing procedures, workflow improvements, and client-specific processes.
• Generate and analyze billing reports to identify trends and areas for improvement.

Skills

• Proficient in medical terminology.
• Strong understanding of professional medical billing processes, accounts receivable follow-up, denials, appeals, and collections
• Minimum of 2 years of full-cycle medical billing, insurance follow-up, claims resolution, or revenue cycle experience. Excellent attention to detail with strong analytical skills.
• Working knowledge of medical terminology, CPT/HCPCS coding concepts, ICD-10-CM diagnosis coding, modifiers, and payer-specific billing requirements.
• Strong written and verbal communication skills and the ability to work effectively both independently and as part of a team.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Radiology or Radiation Oncology billing: 1 year (Preferred)

Work Location: In person