Reimbursement Specialist

Competitive annual salary

• Premium medical, dental & vision benefits!
• 75% Agency paid medical premiums and zero cost options
• Retirement Savings 403(b) plan with up to 6% employer match
• Life insurance, short & long term disability benefits
• Employee Assistance & wellness programs
• 33 Paid Days Off 1st year
• So much more!

The Reimbursement Specialist plays a key role in ensuring timely and accurate reimbursement for behavioral health services. This position maintains accurate client eligibility information, identifies and resolves billing errors before claims are submitted, and follows up on claims, denials, payer correspondence, and authorizations. The specialist works closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity throughout the revenue cycle. This position requires several weeks of in-office training. After successful training and demonstration of proficiency, the position may transition to remote work. Candidate must live within one hour of the greater Tulsa area and be willing to report to the office if needed.

Required Qualifications:

• Requires High School diploma or equivalent.

• Minimum of two (2) years' experience in healthcare billing, reimbursement, or revenue cycle operations. specifically, Medicaid, ODMHSAS, Medicare, or other third-party payers within an outpatient behavioral health setting.

• Strong understanding of Medicaid and ODMHSAS rules and regulations, as well as HIPAA and client privacy requirements.

• High attention to detail and accuracy in reviewing, verifying, and updating client eligibility and billing information.

• Must conduct self professionally, maintain confidentiality, and have strong computer skills, including proficiency in Excel.

• Excellent communication, problem-solving, and time management skills.

• Ability to work independently and collaboratively both internally and externally.

CCBHC Model of Care

Family & Children's Services works to heal hurting and abused children, strengthen families, and provide hope and a path to recovery for those battling mental illness and addiction. You will be working in an innovative and dynamic environment using a new transformative model of care Certified Community Behavioral Health Clinic (CCBHC). This model is characterized by innovative, team-based approach and whole person care for adults and children with a range of complex mental health and substance use challenges.

Utilizing multi-disciplinary teams, staff work collaboratively to provide a coordinated effort to enhance client recovery. Robust CCBHC services often result in better client outcomes and quality of care due to:

• Increased access to care and crisis services
• Expanded traditional community mental health and substance use services.
• Added Care Coordination and physical health screening for mental health clients
• Greater access to Social Services for clients' economic and social needs
• Increased specialized services for veterans, those most in need, and those impacted by the opioid crisis.

Drug-Free Workplace Policy

This job is classified as a "safety-sensitive" position as defined by the Oklahoma Medical Marijuana and Patient Protection Act. Possession of a medical marijuana license will not exclude any therapist applicant; however all employees are subject to the Family & Children's Services Drug Free Workplace Policy.