Bethany-Children

Bethany-Children in Bethany, Oklahoma is seeking a Billing Specialist responsible for accurate billing of inpatient and outpatient services. The role focuses on high-volume outpatient encounters and ensures compliance with payer-specific rules. The ideal candidate has 2+ years of outpatient medical billing experience and a strong understanding of CPT/HCPCS coding. The organization offers competitive compensation, benefits, and opportunities for professional growth. #J-18808-Ljbffr

Job PurposeThe Billing Specialist is responsible for the accurate and timely billing of inpatient services; as well as outpatient clinic services across multiple specialties, including therapy, medical, and ancillary services. This role ensures claims are coded, validated, and submitted in compliance with payer-specific rules, with a strong focus on high-volume outpatient encounters, denial prevention, and revenue cycle optimization. While supporting overall billing operations, this position is primarily focused on outpatient workflows and payer requirements.DutyPercent of TimePrimary Outpatient Billing FunctionsPrepare, review, and submit outpatient clinic claims for multiple service lines (therapy, medical visits, ancillary services)Prepare, review and submit inpatient claims.Ensure accurate claim creation based on CPT/HCPCS codes, modifiers, and visit documentation.Validate claims against payer-specific rules, authorization requirements, and medical necessity guidelines.Work...