District Billing Management Specialist

Job Posting Title

District Billing Management Specialist

Agency

340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization

340 District 5

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time

Full time

Job Type

Regular

Compensation

$61,000.00 / $2,346.15 / $29.326923

Why you’ll love it here!

RESPECT. COLLABORATION. SERVICE. The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. Check out why we are passionate about public health and believe it is the career for you!!!

Oh yeah, did we mention perks? We know that benefits matter and that is why we offer a competitive benefits package for all eligible employees.

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

Job Description

Location: Any District 5 County (Beckham, Caddo, Comanche, Cotton, Greer, Harmon, Jackson, Kiowa, Tillman)

Salary: up to $61,000.00, based on education and experience

Full Time /Part Time: Full Time

Work Schedule: Monday – Friday

Primary Hours: 8-5

 

Position Description:

The District Billing Management Specialist is responsible for district-level billing operations to ensure accurate payer prioritization, capturing proper patient demographic and insurance information, compliance with medical billing policies and procedures, managing client ledgers and staff training.

 

Position Responsibilities/Essential Functions:

· Own district billing operations end-to-end: charge entry/charge capture support, claim creation/submission, payment posting coordination, denial/rejection management, corrected claims, appeals support, and A/R follow-up.

· Oversee management and reconciliation of client ledgers: credits/adjustments, refunds/recoupments, unapplied cash, account corrections, and aging resolution; ensure documentation supports ledger actions.

· Identify and address coding concerns: validate charge/coding workflows, support documentation improvement, coordinate coding education, and reduce preventable denials.

· Lead claim corrections: research rejections/denials, correct errors, resubmit/appeal within payer filing limits, and implement root-cause fixes with measurable results.

· Produce and present KPI reports and productivity metrics.

· Deliver and maintain training standard work, job aids, SOPs, competency checks; coach staff and operational partners on billing accuracy.

· Serve as district SME for EHR/practice management billing workflows: troubleshoot errors/edits, support build/config changes, coordinate testing, and consult on workflow optimization.

· Ensure billing operations align with agency policies, payer requirements, and confidentiality standards, support audits and corrective actions.

· Assist clinic with vaccine inventory.

· Assist with provider credentialing

· Being present in the office is an essential function of this job

· Other duties as assigned

 

Other Duties

· Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.

· Works effectively in team environment, participating and assisting their peers.

 

Minimum Qualifications:

Education and Experience requirements at this level consist of an Associate Degree and two (2) years of experience in a health care field, such as public or community health, or health care administration; or an equivalent combination of education and experience.

Applicants must be willing and able to perform all job-related travel normally associated with this position and possess a valid driver’s license.

Applicants must be current employees of the Oklahoma State Department of Health. Internal applications from other state agencies will not be considered at this time.

 

Application Requirements:

· If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of application.

· All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.

 

Valued Knowledge, Skills and Abilities

Knowledge, Skills, and Abilities required at this level include knowledge of claims’ pricing, billing and coding practices; payment processing; state and federal policies; Current Procedural Technology (CPT) code books; computer and software programs; and data collection.

Skill is required to generate and analyze reports; and detect and correct invoice discrepancies with suppliers.

Ability is required to make data-driven recommendations based on analysis; use analytical problem-solving techniques and interventions; communicate in a clear and concise manner in both oral and written form; provide customer service to internal and external co-workers and partners; to make routine and complex decisions without assistance; and use confidentiality related to proprietary nature of pricing and contracts.

Physical Demands and Work Environment:

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. While performing the duties of the job, employees are required to talk, stand, walk, and reach with hands and arms.  This position requires long periods of sitting and daily use of computers and phones.  Employees must be willing to complete all job-related travel associated with this position. Being in the office is an essential function of the position.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.

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