Reimbursement Specialist I - COPES

Competitive Pay!

Overflowing benefit package

33 Paid days off 1st year!

Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information and resolving errors before claims are filed. Work closely with the COPES clinicians to improve processes, efficiencies, and productivity.

• Generate and complete assigned reports, adhering to established schedules and completion timelines, utilizing the electronic health record system, Report Manager, and PICIS.
• Ensure accuracy of data submitted to guarantors and state agencies, by reviewing, verifying, and updating client information in electronic health record system, including demographics, financial eligibility, services, diagnoses, and authorizations.
• Communicate and collaborate with other agency staff and outside entities, in order to correct errors, resolve issues, and provide assistance to staff both within the department and throughout the agency.
• Execute all assigned tasks, following departmental processes and procedures, and meeting all goals as set forth by the COPES Department.
• Review all clinicians daily billing reports to ensure accuracy.
• Make recommendations for updates, changes or process improvements in order to capture available billing in timely manner for program.

Requirements:

• Requires High School diploma or equivalent.
• Preferably a minimum of two years in Medicare, Medicaid and other third party billings within an outpatient behavioral health setting.
• Knowledge and understanding of HIPAA laws and client privacy.
• Proficient in communication, customer service, internal and external and the ability to manage time.
• Strong organizational skills and detail oriented is a must.
• Ability to function independently, and work well with others.
• Must be efficient, timely and accurate in all duties and responsibilities.
• Must conduct self professionally, maintain confidentiality, and have strong computer skills.

Drug Free Workplace Policy

This job is classified as a "safety-sensitive" position as defined by the Oklahoma Medical Marijuana and Patient Protection Act. Possession of a medical marijuana license will not exclude any applicant; however all employees are subject to the Family & Children's Services Drug Free Workplace Policy.