What are the responsibilities and job description for the Reimbursement Analyst II position at Oklahoma Department of Mental Health and Substance...?
Reimbursement Analyst II
Join a team that CARES!
Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance the well-being of all Oklahomans.
About the Position: This position will be in Norman, OK at Griffin Memorial Hospital (GMH). The individual selected for this position will be assigned responsibilities related to managing the billing/reimbursement process. This includes researching and reviewing claims and other information to identify possible third-party responsibilities and initiating appropriate action to recover funds paid for various medical expenses and other costs. This includes coordinating patient admissions to determine eligibility for benefits, maintaining enrollment with Medicaid, Medicare, and other third-party network providers, coordinating with payors, and ensuring compliance with federal and state laws, rules, and regulations. This position also completes billing cycles, updates patient accounts, and uses available resources to investigate claim situations and facilitate payments, gather support documentation to submit appeals, and analyze various reports.
Job Type/Salary:
- Full-time
- Annual Salary
- Level I-$19.95 hourly/$41,500 yearly
- Level II-$21.61 hourly/$44,940 yearly
- Level III-$23.92 hourly/ $49,750 yearly
- Primary Working Hours are M-F; 8-5
- FLSA Status: Non-Exempt
- Application period: 01/31/2025 to 2/14/2025
Minimum Qualifications and Experience:
Level I: Two years of technical experience which included the processing and/or payment of insurance claims; or an equivalent combination of education and experience, substituting thirty semester hours of college for one year only of the required experience.
Level II: Two years of technical experience which included the processing and/or payment of insurance claims and two years of experience in subrogation or reimbursement in an insurance setting; or an equivalent combination of education and experience, substituting thirty semester hours of college for one year only of the required technical experience.
Level III: Two years of technical experience which included the processing and/or payment of insurance claims and four years of experience in subrogation or reimbursement in an insurance setting; or an equivalent combination of education and experience, substituting thirty semester hours of college for one year only of the required technical experience. A current adjuster's license in the area of casualty/liability claims may substitute for two years of experience in subrogation or reimbursement in an insurance setting.
Preference may be given to individuals with experience in a medical or behavioral health office setting.
Benefit Highlights:
ODMHSAS is proud to provide a comprehensive benefits package designed to support our employees and their dependents. Our benefits include:
- Generous state paid benefit allowance to help cover insurance premiums
- A wide choice of health insurance plans with no pre-existing condition exclusions or limitations
- Flexible spending accounts for health care expenses or dependent care
- Employee assistance programs and health and fitness programs
- 11 paid holidays
- 15 days of vacation and 15 days of sick leave the first year
- Retirement Savings Plan with a generous match
- Longevity Bonus for years of service
- Student Loan repayment options
- Training opportunities for CEU requirements
About us: About Us: Griffin Memorial Hospital (GMH) is located in Norman, Oklahoma, and serves all 77 counties in Oklahoma as a Department of Mental Health and Substance Abuse Services (ODMHSAS) treatment center for adults. Griffin Memorial Hospital is a 120-bed acute psychiatric hospital serving persons aged 18 and over with severe mental illness and provides in-patient hospital care for those in need of mental health & substance abuse services.
Reasonable accommodation to individuals with disabilities may be provided upon request.
An Equal Opportunity Employer.
JOB CODE: A20B
PIN: 4520-0211
Announcement #:JR41661
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Salary : $41,500 - $49,750
