Medicaid Billing Associate - Hybrid
Pafford Medical Services · Oklahoma City, OK · 1 mo ago
Full-time
We need to output HTML fragment with sections only if real content. Use for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to include sections only if posting has real specific content. Let's parse.
Job Title: Medicaid Billing Associate-Hybrid Work Location: Oklahoma City Division/Department: PMBS
We have description: The position is responsible for the billing, follow-up, collection, and resolution of ambulance claims submitted to Medicaid payers. This position works accounts across Oklahoma, Arkansas, Mississippi, Louisiana, and Texas and is responsible for ensuring claims are processed accurately, followed up timely, and resolved in accordance with payer requirements and company policies. They manage assigned accounts from initial claim submission through final payment or appropriate resolution. This includes reviewing claim status, working denials and rejections, submitting corrected claims and appeals, identifying coordination-of-benefits issues, reviewing payments and underpayments, and communicating with insurance carriers and patients when additional information is required.
Then sections: Essential Duties And Responsibilities (list). Then Accounts Receivable Follow-Up (list). Then Denials & Rejections (list). Then Medicaid (list). Then Payment & Remittance Review (list). Then Benefits (list). Then Patient Responsibility & Coordination of Benefits (list). Then Documentation & Account Management (list). Then Minimum Qualifications (list). Then Education & Additional Requirements (list). Then Physical Requirements (list). Then Travel Time (Negligible). Then NOTE.
We need to map to allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We need to decide which sections to include. The posting includes responsibilities (duties). It includes qualifications (minimum qualifications, education). It includes skills (maybe part of qualifications). It includes benefits? There's a "Benefits" heading in the posting but it's actually a section titled "Benefits" but content is about patient responsibility & coordination of benefits? Actually the posting shows a line "Benefits" then "Patient Responsibility & Coordination of Benefits". That seems mislabeled; but the content under "Benefits" is about patient responsibility, not employee benefits. There's no explicit employee benefits like health insurance, PTO, etc. So we should not create a Benefits section unless posting actually states them. It does not. So we omit Benefits.
Pay and Schedule: Not mentioned. So omit.
About the role: Could be a brief summary paragraph. We have a paragraph at start describing role. That could be About the role.
Responsibilities: The duties sections (Essential Duties And Responsibilities, Accounts Receivable Follow-Up, Denials & Rejections, Medicaid, Payment & Remittance Review, Patient Responsibility & Coordination of Benefits, Documentation & Account Management). All these are responsibilities. So we can combine into a Responsibilities section with lists.
Requirements: Could include Minimum Qualifications, Education & Additional Requirements, Physical Requirements? Physical requirements maybe part of Requirements. But we have headings: Requirements, Qualifications, Skills. We need to decide distribution.
Qualifications: Could be Minimum Qualifications (knowledge, experience). Skills: Could be abilities (analytical, problem-solving, communication, proficiency). Education & Additional Requirements could be Qualifications or Requirements. Physical Requirements maybe part of Requirements.
We need to avoid thin sections; prefer few substantive sections. Perhaps we can have About the role, Responsibilities, Qualifications (combining minimum qualifications, education, skills, physical requirements). Or we could have Requirements (including education, physical) and Skills (abilities). But we need to avoid creating sections with placeholder text.
Let's extract substantive content for each.
About the role: The initial paragraph(s) describing position.
Responsibilities: All duty bullet points.
Qualifications: Minimum Qualifications list (knowledge of medical billing, etc.) plus Education & Additional Requirements (high school diploma, experience preferred, internet speed, hybrid schedule). Physical Requirements maybe also part of Qualifications? But physical requirements are more about ability to perform job; could be included in Qualifications.
Skills: Could be the abilities like strong analytical, problem-solving, attention to detail, ability to manage high volume, prioritize, communication, proficiency with systems. Those are already in Minimum Qualifications list. Might be redundant.
Better to have: About the role, Responsibilities, Qualifications (including minimum qualifications, education, physical requirements). Skills maybe not needed separately.
But the instruction says we can use those headings; we should include only if real content. We can include Qualifications and Skills if we have distinct content.
Let's see if we can separate: Minimum Qualifications includes knowledge, experience, abilities. Education & Additional Requirements includes diploma, experience preferred, internet speed, hybrid schedule. Physical Requirements includes lifting, vision, etc. Skills could be the abilities like strong analytical, problem-solving, etc. But those overlap.
Given the instruction to prefer few substantive sections over many thin ones, maybe we combine all into Qualifications. But we need to follow headings: we can still use Qualifications heading and put all that content under it. That's acceptable.
Thus we will output:
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to include sections only if posting has real specific content. Let's parse.
Job Title: Medicaid Billing Associate-Hybrid Work Location: Oklahoma City Division/Department: PMBS
We have description: The position is responsible for the billing, follow-up, collection, and resolution of ambulance claims submitted to Medicaid payers. This position works accounts across Oklahoma, Arkansas, Mississippi, Louisiana, and Texas and is responsible for ensuring claims are processed accurately, followed up timely, and resolved in accordance with payer requirements and company policies. They manage assigned accounts from initial claim submission through final payment or appropriate resolution. This includes reviewing claim status, working denials and rejections, submitting corrected claims and appeals, identifying coordination-of-benefits issues, reviewing payments and underpayments, and communicating with insurance carriers and patients when additional information is required.
Then sections: Essential Duties And Responsibilities (list). Then Accounts Receivable Follow-Up (list). Then Denials & Rejections (list). Then Medicaid (list). Then Payment & Remittance Review (list). Then Benefits (list). Then Patient Responsibility & Coordination of Benefits (list). Then Documentation & Account Management (list). Then Minimum Qualifications (list). Then Education & Additional Requirements (list). Then Physical Requirements (list). Then Travel Time (Negligible). Then NOTE.
We need to map to allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We need to decide which sections to include. The posting includes responsibilities (duties). It includes qualifications (minimum qualifications, education). It includes skills (maybe part of qualifications). It includes benefits? There's a "Benefits" heading in the posting but it's actually a section titled "Benefits" but content is about patient responsibility & coordination of benefits? Actually the posting shows a line "Benefits" then "Patient Responsibility & Coordination of Benefits". That seems mislabeled; but the content under "Benefits" is about patient responsibility, not employee benefits. There's no explicit employee benefits like health insurance, PTO, etc. So we should not create a Benefits section unless posting actually states them. It does not. So we omit Benefits.
Pay and Schedule: Not mentioned. So omit.
About the role: Could be a brief summary paragraph. We have a paragraph at start describing role. That could be About the role.
Responsibilities: The duties sections (Essential Duties And Responsibilities, Accounts Receivable Follow-Up, Denials & Rejections, Medicaid, Payment & Remittance Review, Patient Responsibility & Coordination of Benefits, Documentation & Account Management). All these are responsibilities. So we can combine into a Responsibilities section with lists.
Requirements: Could include Minimum Qualifications, Education & Additional Requirements, Physical Requirements? Physical requirements maybe part of Requirements. But we have headings: Requirements, Qualifications, Skills. We need to decide distribution.
Qualifications: Could be Minimum Qualifications (knowledge, experience). Skills: Could be abilities (analytical, problem-solving, communication, proficiency). Education & Additional Requirements could be Qualifications or Requirements. Physical Requirements maybe part of Requirements.
We need to avoid thin sections; prefer few substantive sections. Perhaps we can have About the role, Responsibilities, Qualifications (combining minimum qualifications, education, skills, physical requirements). Or we could have Requirements (including education, physical) and Skills (abilities). But we need to avoid creating sections with placeholder text.
Let's extract substantive content for each.
About the role: The initial paragraph(s) describing position.
Responsibilities: All duty bullet points.
Qualifications: Minimum Qualifications list (knowledge of medical billing, etc.) plus Education & Additional Requirements (high school diploma, experience preferred, internet speed, hybrid schedule). Physical Requirements maybe also part of Qualifications? But physical requirements are more about ability to perform job; could be included in Qualifications.
Skills: Could be the abilities like strong analytical, problem-solving, attention to detail, ability to manage high volume, prioritize, communication, proficiency with systems. Those are already in Minimum Qualifications list. Might be redundant.
Better to have: About the role, Responsibilities, Qualifications (including minimum qualifications, education, physical requirements). Skills maybe not needed separately.
But the instruction says we can use those headings; we should include only if real content. We can include Qualifications and Skills if we have distinct content.
Let's see if we can separate: Minimum Qualifications includes knowledge, experience, abilities. Education & Additional Requirements includes diploma, experience preferred, internet speed, hybrid schedule. Physical Requirements includes lifting, vision, etc. Skills could be the abilities like strong analytical, problem-solving, etc. But those overlap.
Given the instruction to prefer few substantive sections over many thin ones, maybe we combine all into Qualifications. But we need to follow headings: we can still use Qualifications heading and put all that content under it. That's acceptable.
Thus we will output:
About the role
... paragraph ...
Responsibilities
- ... each duty ...
Qualifications
- ... each qualification/education/physical requirement ... items. Now Qualifications: Combine Minimum Qualifications, Education & Additional Requirements, Physical Requirements. Minimum Qualifications list: - Knowledge of medical billing and accounts receivable processes. - Knowledge of Commercial insurance and Medicaid billing preferred. - Ambulance or EMS billing experience strongly preferred. - Ability to read and interpret EOBs, ERAs, payer correspondence, claim status information, and denial codes. - Understanding of electronic claim submission, corrected claims, appeals, coordination of benefits, and timely filing. - Strong analytical and problem-solving skills. - Strong attention to detail and account documentation. - Ability to manage a high-volume account inventory. - Ability to prioritize accounts based on aging, dollar amount, filing deadlines, and payer requirements. - Strong written and verbal communication skills. - Ability to work independently while appropriately escalating complex issues. - Proficiency with billing systems, payer portals, and Microsoft Office applications. Education & Additional Requirements: - High school diploma or equivalent required. - Medical billing, insurance follow-up, accounts receivable, or related healthcare experience preferred. - Must have access to high-speed internet-at least 20mbps download, and must be hardwired. - In person and hybrid in the Oklahoma City area-Will be in the office minimum 3 times a week. Physical Requirements: - Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards. - Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards. - The employee may occasionally be required to lift and/or move up to 20 pounds. - Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. - Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion. - Must be able to talk, listen and speak clearly on telephone. - Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle. Travel Time Negligible: maybe not needed. We should not include the NOTE. Now we need to output HTML fragment only. We'll wrap each section with
- as appropriate.
For About the role: use
. For Responsibilities: use
- ... each duty ...
heading and then
or
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