CrawlJobs Logo

Medicare Billing Associate

paffordems.com Logo

Pafford EMS

Location Icon

Location:
United States , Oklahoma City

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

Pafford Medical Services is accepting applications for a Medicare Billing Associate in Oklahoma City. Responsible for processing, researching, analyzing, and managing ambulance claims for assigned payor types.

Job Responsibility:

  • Ensure claims are billed on a timely basis
  • Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations
  • Work with commercial insurance, Medicare, Medicaid, HMO's and clients to collect all balances
  • Manage actions related to delinquent accounts and minimizes write-offs
  • Provide technical assistance to staff for training purposes and problem solving
  • Achieve performance goals and objectives (individual or departmental) as established by the manager
  • Manage resources to meet department goals
  • Communicate effectively with all levels of staff
  • Other tasks as needed

Requirements:

  • Knowledge of Medicare, Medicaid, private insurance, HMO's and hospice billing
  • Analyzed accounts receivable for accuracy and filed reconsideration on denied claims
  • Submit, adjust, and void Medicare and Medicaid claims efficiently
  • Experience working with insurance portals
  • Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
  • Working knowledge of medical terminology/ICD-10 codes, preferred
  • Knowledge of medical terminology
  • Ability to work independently and with a group
  • High School Diploma or equivalent
  • Must have access to high-speed internet-at least 20mbps download, and must be hardwired

Nice to have:

Working knowledge of medical terminology/ICD-10 codes

Additional Information:

Job Posted:
January 04, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Medicare Billing Associate

Billing Specialist

Robert Half is partnering with a healthcare client in the recruiting for a Billi...
Location
Location
United States , Oconomowoc
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent required
  • associate or bachelor’s degree in accounting, finance, or a related field preferred
  • Minimum of 2-3 years of experience in billing, account receivables, accounting preferably within a healthcare or senior living environment
  • Familiarity with Medicare, Medicaid, and private insurance billing processes is strongly desired
  • Expertise with billing software and tools (e.g., point-of-sale systems, accounting software, or healthcare billing platforms)
  • Strong attention to detail and accuracy in financial data entry and reconciliation
  • Excellent customer service and communication skills, with the ability to address sensitive conversations professionally
  • Proficient in Microsoft Office Suite, especially Excel and Word
  • Knowledge of HIPAA and other relevant regulations governing billing and financial data confidentiality.
Job Responsibility
Job Responsibility
  • Prepare and process monthly resident billing statements for services, housing, and additional care
  • Ensure accurate calculation of fees, expenses, and adjustments based on contracts and service changes
  • Manage third-party billing, including Medicare, Medicaid, private insurance, and long-term care providers
  • Monitor accounts receivable and follow up on outstanding balances to ensure timely payments
  • Process incoming payments via check, electronic transfer, and credit card, applying them correctly to resident accounts
  • Work with residents and families to address billing questions, payment plans, and financial discrepancies
  • Maintain billing records that comply with federal, state, and local regulations, including HIPAA requirements
  • Stay updated on relevant Medicare and Medicaid billing guidelines to ensure compliance
  • Prepare and submit reports for audits and regulatory purposes as needed
  • Reconcile charges, payments, and account balances on a routine basis to ensure the accuracy of resident accounts
What we offer
What we offer
  • 403b retirement planning
  • FSA
  • tuition assistance
  • paid time off
  • paid holidays
  • Fulltime
Read More
Arrow Right

Credentialing Specialist

We are in search of a skilled Credentialing Specialist to join our team in South...
Location
Location
United States , Southborough
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 5 years experience as a Credentialing Specialist or a similar role in the healthcare industry
  • Proficiency in computerized billing systems and electronic health record (EHR) systems
  • Experience with Epic Software
  • Solid understanding and experience in accounting functions, specifically in the healthcare setting
  • Expertise in medical credentialing and medical billing is essential
  • Proficiency in Microsoft Excel
  • Demonstrated experience in handling various billing functions
  • Familiarity with contractual billing, electronic billing, healthcare billing, insurance billing, Medicaid billing, medical insurance billing, Medicare billing, patient billing, physician billing, and third-party billing
Job Responsibility
Job Responsibility
  • Collect, review, and validate credentials for healthcare providers, including licenses, certifications, and education
  • Maintain and update credentialing databases and files for all healthcare providers, ensuring all required documents are current and complete
  • Adhere to all applicable laws, regulations, and industry standards (e.g., NCQA, CMS, etc.) associated with credentialing
  • Generate and maintain reports related to credentialing status and compliance and communicate any issues or discrepancies to management
  • Assist with the enrollment of providers and group facilities into insurance networks and maintain active status with payer organizations
  • Act as a liaison between healthcare providers, insurance companies, and internal departments to resolve credentialing issues or questions
  • Participate in internal and external audits of credentialing files, ensuring accurate and timely completion of necessary documentation
  • Stay informed of changes in regulatory requirements and best practices to ensure the credentialing process remains efficient and compliant
  • Uphold the dignity and respect of individuals we support and ensure they are treated in accordance with our Human Rights policies
  • Adhere to all principles related to the Advocates Way
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Coding Training Manager

Under general direction, this position supervises the daily coding and training ...
Location
Location
United States , Oklahoma City
Salary
Salary:
Not provided
paffordems.com Logo
Pafford EMS
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Knowledge of Medicare and Medicaid regulations as they pertain to ambulance billing
  • Knowledge of and complete and thorough understanding of HIPAA
  • Knowledge of health care financial management systems and processes
  • Knowledge of medical, insurance, and healthcare terminology, industry regulations, and requirements
  • Knowledge of the International Certification of Disease codes for medical impressions and ambulance transportation codes
  • Knowledge of complicated multi-system medical terminology and general anatomy
  • Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims
  • Knowledge of supervisory and managerial techniques and processes
  • Skill in oral and written communications
  • Preferred: Certified Ambulance Coder (CAC) credential
Job Responsibility
Job Responsibility
  • Coordinates and ensures adherence to quality standards, deadlines, and proper procedures of work performed by coding employees
  • Fosters a sense of teamwork and motivates team to perform assigned functions and achieve objectives
  • Maintains a working knowledge of the department’s billing system software applications, including all reporting, billing, and administrative functions
  • Creates and maintains billing policies and procedures by partnering with the Director
  • Provides account oversight as required for each payer type
  • and completes Medicare, Medicaid, and insurance reviews
  • Identifies billing trends and makes necessary system changes
  • Develops, maintains, and facilitates training on any necessary regulatory changes affecting the department’s billing functions
  • Identifies training needs of staff and assigns staff to participate in relevant training
  • Fulltime
Read More
Arrow Right

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma
  • 1-3 years of Payer Enrollment experience
  • Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
  • Excellent written and verbal communication skills
  • Excellent organization and planning skills with demonstrated teamwork skills
  • Proven ability to interact with all levels of management and other Associates
Job Responsibility
Job Responsibility
  • Collects and maintains data on providers for Medicare and Medicaid enrollment
  • Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
  • follows up by telephone or in writing, with carriers regarding application status
  • Complies with Medicare and Medicaid provider enrollment guidelines
  • Requests NPI numbers for providers and clinics as necessary and maintains NPI files
  • Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
  • Generates various reports to identify outstanding claims issues with provider numbers and non-payment
  • Communicates information to appropriate personnel
  • Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
  • Collects and reviews managed care contracts for correct billing and payment terms
  • Fulltime
Read More
Arrow Right
New

Medical Accounts Receivable Specialist

We are looking for a motivated and detail-oriented Medical Accounts Receivable S...
Location
Location
United States , Philadelphia
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 1 year of experience in medical accounts receivable or medical billing
  • Strong understanding of Managed Care Collections and Managed Care contract requirements
  • Proficiency in using electronic medical record systems, such as Cerner or Epic
  • Familiarity with medical billing forms, including UB04 and 1500
  • Knowledge of Medicare Advantage Plans and Capitation processes
  • Experience with CRM and ERP systems to support account management
  • Excellent organizational and problem-solving skills
  • Ability to communicate clearly and professionally with patients, insurance providers, and team members
Job Responsibility
Job Responsibility
  • Process Medicare billing activities, ensuring accurate handling and management of patient accounts
  • Submit both electronic and paper insurance claims in compliance with payer guidelines
  • Bill patient claims promptly and manage associated patient accounts with attention to compliance and accuracy
  • Perform timely payment follow-ups to resolve outstanding balances
  • communicate effectively with stakeholders as needed
  • Review work list activities regularly to prioritize and address accounts requiring immediate attention
  • Work all assigned accounts diligently until final resolution, documenting every step accurately
  • Review remittances to verify charges processed or paid align with insurance contracts and fee schedules
  • Interpret and understand the billing UB04 form and 1500 form
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • company 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Medical Billing Specialist to joi...
Location
Location
United States , Hagerstown
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
  • 1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
  • Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
  • Experience with medical billing software and electronic health records (EHR) systems
  • Excellent communication skills, both verbal and written
  • Detail-oriented with strong organizational and analytical skills
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment
  • Knowledge of HIPAA regulations and confidentiality requirements
Job Responsibility
Job Responsibility
  • Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
  • Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
  • Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
  • Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
  • Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
  • Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
  • Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
  • Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
  • Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Company 401(k) plan
  • Access to top jobs
  • Competitive compensation
  • Fulltime
Read More
Arrow Right

Paralegal

We are actively searching for a Paralegal to augment our team in the personal in...
Location
Location
United States , Owings Mills
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Applicant must possess a strong background in Personal Injury Litigation
  • Experience with Personal Injury Plaintiffs is essential
  • Proficiency in Civil Litigation is required
  • Must be able to handle and manage Medical Records effectively
  • Strong Drafting skills are necessary for this role
  • Must have the ability to Draft Legal Documents proficiently
Job Responsibility
Job Responsibility
  • Manage a range of pre-litigation personal injury cases
  • Ensure the correct filing of claims related to personal injury cases
  • Maintain the accuracy and orderliness of medical records and bills associated with each case
  • Draft and prepare legal documents and demands with precision and detail
  • Handle the request of liens, including Medicare & Medicaid
  • Uphold the firm's standards and procedures in all tasks related to personal injury litigation
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • eligibility to enroll in company 401(k) plan
  • Fulltime
Read More
Arrow Right

Associate, Population Health

The Associate, Population Health will be responsible for supporting accurate bil...
Location
Location
United States , Work At Home
Salary
Salary:
43888.00 - 93574.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
January 15, 2026
Flip Icon
Requirements
Requirements
  • Experience in adeptly navigating EMR workflows
  • Strong familiarity/knowledge of ICD-10/HCC Model/Care Report
  • Track record of effectively solving difficult problems
  • Orientation toward analytical problem solving
  • Practical, results-oriented mindset
  • Ability to manage multiple priorities while maintaining a positive attitude
  • Unimpeachable integrity
  • 1-2 years experience at a consulting firm or similar analytics experience
  • Strong MS Excel skills
  • Bachelor degree
Job Responsibility
Job Responsibility
  • Supporting accurate billing of testing orders via EMR workflows
  • Development, testing, and troubleshooting field facing tools/data related to Clinical Documentation
  • Partner with Canopy product owners on development, design, functionality, and reporting needs
  • Drafting proposals for new logic/tool functionality
  • Finalize technical requirements for reporting needs/updates
  • Establish communication cadence/content for regional leaders
  • Creation of metrics and reports to monitor success
  • Ensure all tools are functioning as intended
  • Identify and implement opportunities to improve accuracy of clinical documentation
What we offer
What we offer
  • Paid vacation
  • Sick time
  • Investment/retirement 401K match options
  • Health insurance
  • Vision benefits
  • Dental benefits
  • Opportunities for leadership development
  • Continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement
  • Fulltime
Read More
Arrow Right