Reimbursement Specialist

Location: Tulsa, OK (Primarily Remote with Hybrid Transition)

Office Location: Midtown Tulsa

Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Pay Rate: $19.00/hour, depending on experience

Employment Type: Full-Time

Position Overview

We are seeking a detail-oriented and motivated Reimbursement Specialist to join our growing team. This position is responsible for reviewing and submitting authorization requests to Oklahoma Medicaid and the Department of Mental Health (DMH), resolving authorization discrepancies, and working daily reports to ensure services are billed accurately and timely.

This role will initially be primarily remote, with a transition to a hybrid schedule that includes periodic onsite work and meetings at our Tulsa office. The ideal candidate will possess strong analytical skills, excellent attention to detail, and the ability to work independently while managing multiple priorities in a fast-paced healthcare environment.

Essential Duties & Responsibilities

• Review, process, and submit authorization requests to Oklahoma Medicaid and the Department of Mental Health (DMH)
• Identify, investigate, and correct authorization errors to prevent billing delays or denials
• Monitor daily billing and authorization reports to identify and resolve issues impacting reimbursement
• Research and troubleshoot discrepancies related to authorizations, billing, and claims processing
• Maintain accurate documentation of authorization requests, approvals, corrections, and follow-up activities
• Communicate effectively with internal departments to resolve authorization and reimbursement concerns
• Monitor authorization statuses and ensure timely updates within internal systems
• Assist with process improvement initiatives to enhance reimbursement efficiency and accuracy
• Ensure compliance with company policies, payer requirements, and applicable regulations

Qualifications

• Previous experience with Medicaid authorizations, reimbursement, medical billing, or healthcare revenue cycle functions required
• Experience working with Oklahoma Medicaid and/or Department of Mental Health (DMH) authorizations preferred
• Behavioral health billing experience strongly preferred
• Knowledge of medical terminology, healthcare procedures, and insurance processes
• Ability to work independently and effectively manage multiple priorities
• Strong problem-solving and critical-thinking skills
• Excellent written and verbal communication skills
• High level of accuracy and attention to detail

Technical Requirements

• Intermediate to advanced Microsoft Excel skills required
• Proficiency with Microsoft Outlook and Microsoft Office applications
• Experience working with online payer portals and authorization systems preferred
• Familiarity with the Oklahoma Medicaid website preferred
• Minimum typing speed of 45 words per minute
• Typing test score required prior to interview consideration

What We're Looking For

The ideal candidate is highly organized, dependable, and proactive, with a strong understanding of healthcare reimbursement processes. They thrive in an independent work environment, possess exceptional attention to detail, and are committed to ensuring accurate and timely billing operations.

Pre-Employment Requirements

• Ability to pass all required pre-employment screenings
• This organization maintains a Drug-Free Workplace and is considered safety sensitive



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HS Diploma or Equivalent; 1-2 years of Medical Reimbursement Experience

* 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.
* Keep records of invoices and support documents.
* Verify signatures and required information on checks.
* Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
* Contact customers to obtain or relay account information.
* Route statements for mailing or over-the-counter delivery to customers.
* Monitor equipment to ensure proper operation.
* Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
* Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
* Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.