Medicaid Billing Specialist

Location:

Edmond, Oklahoma

Pay: $18–$24 per hour

Schedule:

Monday–Thursday, 8:00 a.m.–5:00 p.m.;
Friday, 8:00 a.m.–1:00 p.m.

Position Type:
Full-Time

Employment Type:

Contract to Hire

The Medicaid Billing Specialist is responsible for resolving Medicaid claim denials, submitting secondary claims through the Oklahoma Health Care Authority (OHCA) portal, and managing accounts receivable follow-up. This position supports accurate billing, timely reimbursement, and efficient claims processing.

• Research and track Medicaid claim denial trends.
• Investigate denied claims and determine appropriate resolutions.
• Submit Medicaid secondary claims through the OHCA portal.
• Follow up on unpaid, underpaid, or incorrectly processed claims.
• Monitor accounts receivable, outstanding balances, and aging accounts.
• Respond to patient and payer billing inquiries professionally and promptly.
• Review and resolve assigned tasks in the electronic health record (EHR) system.
• Maintain accurate billing records and documentation.
• Protect patient information and comply with HIPAA requirements.
• Communicate with coworkers and other departments to resolve billing issues.
• Follow established policies and procedures and perform other duties as assigned.

• High school diploma or GED required.
• Six to twelve months of medical billing experience, healthcare billing training, or related experience typically required.
• Basic knowledge of medical billing, insurance claims, and accounts receivable.
• Computer proficiency and ability to accurately enter data and review billing documentation.

• Experience with Medicaid billing and secondary claims.
• Familiarity with the OHCA portal and electronic health record systems.
• Experience with insurance follow-up, claim denial resolution, and payment reconciliation.
• Knowledge of medical coding and third-party payer procedures.

• Strong attention to detail and accuracy.
• Excellent communication and customer service skills.
• Strong organizational and time management skills.
• Ability to multitask, prioritize responsibilities, and meet deadlines.
• Effective research, troubleshooting, and problem-solving abilities.
• Ability to maintain confidentiality and work independently or as part of a team.

• Ability to sit, perform data entry, and view a computer screen for extended periods.
• Occasional standing, walking, and bending may be required.

Office or healthcare administrative setting involving computer-based billing, documentation, and communication with insurance payers.

• To be provided by the hiring organization, if applicable.

• Background check, drug screening, and vaccination requirements to be confirmed.
• Travel may be required based on position needs.

TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER