Company Overview
Variety Care stands as Oklahoma’s largest community health center, serving communities across 19 locations throughout the Oklahoma City metro area and southwest Oklahoma. Our mission is to provide accessible and affordable high-quality healthcare for all. We offer a full range of services including primary medical, dental, vision, behavioral health, women’s health, and teen-focused care.
At Variety Care, we are redefining how Oklahomans receive healthcare. Our focus is simple—health and health for everyone. If you’re ready to make a meaningful impact, grow your career, and help lead our mission forward, Variety Care is the place to be!
About the Job
Department: Billing
Position: Medical Billing Specialist
Employee Category: Non-Exempt
Reporting Relationship: Manager of Revenue Cycle Management
Character First Qualities:
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Decisiveness: Ability to identify key factors and make sound decisions.
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Dependability: Fulfilling commitments, even at unexpected costs.
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Flexibility: Willingness to adapt plans or ideas without frustration.
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Patience: Ability to accept challenging situations without imposing a timeline for resolution.
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Tolerance: Acceptance of others at various stages of development.
Summary of Duties and Responsibilities:
The Medical Billing Specialist is responsible for reviewing daily charges and adjustments for accuracy, submitting third-party claims, handling self-pay patient billing, and addressing billing inquiries from patients and staff.
Primary Responsibilities:
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Review assigned claims daily to ensure accuracy before submission.
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Validate documentation for self-pay claims, ensuring appropriate discounts are applied.
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Make necessary billing corrections and adjustments to ensure accurate and timely payments.
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Verify payer information and patient eligibility when required.
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Contact patients for missing information or clarification.
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Request and upload necessary documentation to patient accounts.
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Submit claims to clearinghouse daily.
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Accurately process secondary and tertiary claims in a timely manner.
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Work with Claims Resolution Specialists to investigate denied claims and credit balances.
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Handle rejection and rebill requests.
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Follow up on pending claims to ensure resolution.
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Assist patients with inquiries about balances, deductibles, and co-payment statuses.
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Facilitate payment arrangements by coordinating with the Collection Specialist.
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Provide individual statements for patient accounts when needed.
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Support front desk staff with billing and eligibility questions.
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Stay informed about the range of programs offered at each site and apply benefits correctly to patient charges.
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Produce itemized billing as requested by law firms or agencies.
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Process DLO invoices and send requested information from accounts.
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Create daily deposit slips for self-pay and private pay accounts.
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Collect and post credit card payments to respective accounts.
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Keep current with dental, behavioral health, and vision claims processing.
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Meet established deadlines (daily, weekly, monthly, and annual).
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Adhere to Medicare, Medicaid, and HIPAA compliance guidelines for billing, collections, and PHI.
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Follow instructions from the Manager of Revenue Cycle Management.
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Maintain professionalism in communication with patients, clients, insurance companies, and co-workers.
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Participate in special projects.
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Support Variety Care’s accreditation as a Patient Centered Medical Home and commitment to providing safe, effective, patient-centered, timely, efficient, and equitable care.
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Contribute to achieving healthcare reform goals: improving care experiences, health outcomes, and reducing costs.
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Demonstrate strong personal character with open, honest communication, high integrity, adaptability, and sound judgment.
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Take leadership in the department and community, driving results and accountability.
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Perform additional duties as assigned.
Essential Functions:
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Ability to lift 25 pounds.
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Ability to sit for extended periods.
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Excellent concentration and focus.
Qualifications:
Required Skills:
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High school diploma or GED.
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Experience in communication with patients, management, front office, and providers to resolve billing issues.
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Strong critical thinking, analytical, problem-solving, and decision-making skills.
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Effective communication with individuals at all levels, especially in sensitive situations.
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Proficiency in Microsoft Office and practice management software.
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Ability to assist and support colleagues in a professional, respectful manner.
Preferred Skills:
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Bilingual (English/Spanish).
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Experience in the medical field, especially in a Family Practice setting.
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Familiarity with filing third-party claims and reporting in a timely manner.
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Basic understanding of medical terminology, coding, and anatomy.