N99990 Clinics Billing Specialist, Optometry, Tahlequah

Job Summary

This position provides specialized support for clinic billing operations.

• Posts daily patient visits; reconciles documentation from rural eye clinics with daily appointment lists; analyzes clinic documentation for accuracy and completeness; assigns appropriate codes.
• Enters information to generate claims to insurance carriers; reviews billable claims for accuracy and compliance with guidelines; enters required data and costs; verifies and imports materials according to payer guidelines.
• Follows guidelines established by third‑party payers.
• Responds to insurance company denial of claims.
• Applies payments and credits to patient accounts.
• Maintains patient account balances; prepares statements for unpaid balances.
• Updates patient files and records with insurance and address changes.
• Packages and labels documents according to records retention policies.
• Prepares regular and special reports.
• Performs related duties as assigned.

• Knowledge of generally accepted accounting principles.
• Knowledge of university accounts receivable policies and procedures.
• Knowledge of third‑party payer guidelines, including Medicare and Medicaid.
• Knowledge of Health Insurance Portability and Accountability Act requirements.
• Knowledge of patient confidentiality guidelines.
• Skill in the operation of computers and job related software programs.
• Skill in decision making and problem solving.
• Skill in interpersonal relations and in dealing with the public.
• Skill in oral and written communication.

The Clinical Management Coordinator assigns work in terms of general instructions. The supervisor spot‑checks completed work for compliance with procedures, accuracy, and the nature and propriety of the final results.

Guidelines include generally accepted accounting principles and university, insurance company policies, and college policies and procedures. These guidelines are generally clear and specific, but may require some interpretation in application.

The work consists of related specialized duties. Strict regulations and the need for accuracy contribute to the complexity of the position.

Contacts are typically with co‑workers, other university personnel, students, patients, insurance company representatives, and members of the general public. Contacts are typically to give or exchange information, to resolve problems, to provide services, or to justify, defend or settle matters.

The work is typically performed while sitting at a desk or table or while intermittently sitting, standing, or stooping. The employee occasionally lifts light objects. The work is typically performed in an office.

None.

• Knowledge and level of competency commonly associated with completion of specialized training in the field of work, in addition to basic skills typically associated with a high school education.
• Sufficient experience to understand the basic principles relevant to the major duties of the position, usually associated with the completion of an apprenticeship/internship or having had a similar position for one to two years.
• Ability to be bonded.

Annual salary $28,188.00 with excellent benefits, including generous leave time.

Northeastern State University complies with all “applicable” federal and state laws regarding non‑discrimination.