Billing Accountant IV

Job Posting Title
Billing Accountant IV

Agency
340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization
340 Financial Services

Job Posting End Date (Continuous if Blank)
August 11, 2025
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time
Full time

Job Type
Regular

Compensation
The annual salary for this position is up to $67,000.00, based on education and experience.

Why you’ll love it here!

RESPECT. COLLABORATION. SERVICE. The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. Check out why we are passionate about public health and believe it is the career for you!!!

Oh yeah, did we mention perks? We know that benefits matter and that is why we offer a competitive benefits package for all eligible employees.

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

Job Description

Location : 123 Robert S Kerr

Salary : up to $67,000.00, based on education and experience

Full Time /Part Time : Full time

Work Schedule : Monday - Friday

Primary Hours : 8-5

Position Description:

The Billing Supervisor will oversee the Billing staff, all billable contracts, invoicing, Newborn Screening (NBS) claims and invoices, indirect cost, early intervention and databill invoices, refunds, KPI development and tracking, and accounts receivable (AR) aging report.

Position Responsibilities/Essential Functions:

• Review billable contracts to ensure invoicing is within compliance.
  
• Assign and set-up structure for new contracts.
  
• Ensure budgets for contracts are tracked and funding information is accurate.
  
• Create complex invoices involving multiple queries, allocations, and complex calculations including the use of allocation systems and external reporting systems; ensure contract requirements are met; reconcile contracts quarterly and at contract close to ensure all expenses are billed.
  
• Medical Billing - collect payments sent by mail from private insurance companies, Managed Care Organizations, Medicaid and Medicare; send payments to Collections to be receipted; and ensure EOBs are sent to OSDH Medical Billing.
  
• Billable contract invoices require detailed reports and calculation. Review billable contract invoices to ensure accuracy; backup documentation is provided; and invoices are accurate.
  
• Oversee and audit the maintenance of contracts and invoice folders.
  
• Ensure all invoices are recorded on the Billable Contract Tracking sheet and it has all the information needed for Collections to receipt the payments.
  
• Track billable contract invoices and ensure they are sent out within 30 days of the close of the billing period.
  
• Produce monthly AR reports and provide analysis of past due invoices. Assist the director with contacting vendors.
  
• Oversee Newborn Screening Medicaid claims, and lab and hospital invoicing. Ensure timely submission of claims and invoices.
  
• Track NBS claims through the OHCA portal and provide payment information to Collections to claim funds. Analyze claim payments that do not match submissions or invoices.
  
• Review other payment systems for electronic or credit card payment and send payment information to Collections to claim funds.
  
• Tracking NBS invoices and completing write-offs for Medicaid babies.
  
• Auditing hospitals to ensure accounts are accurate.
  
• Maintain monthly NBS report. Resolve and resubmit denied Medicaid claims.
  
• Processing refunds for over and duplicate payments.
  
• Review Unclaimed Treasury report to ensure OSDH is claiming all its funds. Send list of claims to Collections to claim funds.
  
• Assist the Billing and Collections Assistant Director in the development of Billing and Collections part of Fusion for Financial Services.
  
• Manage Billing staff and provide them with support.
  
• Review and track productivity reports. Analyze trends; refine reports; and produce monthly productivity reports
  
• Creates and maintains billing policies, processes and procedures; and analyzes existing processes and procedures for continuing improvement; works with internal and external auditors to supply information and revise processes to meet audit requirements
  
• Serve as backup for grants and WIC draws
  
• Cross trains on all invoices to serve as a backup.
  
• Being present at the office is an essential function of the job.
  
• Other duties as assigned.
  

Other Duties

• Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
  
• Works effectively in team environment, participating and assisting their peers.
  

Minimum Qualifications:

Education and Experience requirements at this level consist of a bachelor’s degree in accounting, business, finance or a closely related field plus four years of experience in performing professional accounting experience; or an equivalent combination of education and experience, substituting one year of bookkeeping for each year of the required degree.

Application Requirements:

• If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of application.
  
• All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.
  

Valued Knowledge, Skills and Abilities

• knowledge of OHCA’s Medicaid billing
  
• knowledge of NBS claims billing system
  
• knowledge of Hospital billing
  
• knowledge of Electronic Health Record systems and their medical billing procedures, e.g., Patagonia, Epic, etc.
  
• Peoplesoft experience
  
• Strong supervisory skills
  
• Microsoft office suite
  
• Ability to analyze and resolve complex issues
  
• Knowledge of revenue tracking, trend analysis, and forecasting
  

Physical Demands and Work Environment:

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. While performing the duties of the job, employees are required to talk, stand, walk, and reach with hands and arms; carry light items; drive an automobile. This position requires long periods of sitting and daily use of computers and phones. Being present at the office is an essential function of the job.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub .

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• Oklahoma State Department of Health

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