Internal Billing Specialist

Company DescriptionTulsa CARES has been a leader in providing compassionate care for individuals living with HIV/AIDS since its founding in 1991 during the height of the epidemic. Serving as the largest and most comprehensive provider of prevention and care programs for low-income individuals affected by HIV/AIDS and Hepatitis C in Oklahoma, the organization is committed to addressing social determinants of health to improve outcomes. Tulsa CARES delivers client-centered, wrap-around services that are guided by principles of empowerment, inclusion, self-worth, and hope. With more than three decades of experience, Tulsa CARES continues to make a meaningful impact in the lives of those it serves.Role DescriptionThis is a full-time, on-site role for an Internal Billing Specialist located in Tulsa, OK. The Internal Billing Specialist is responsible for managing and overseeing all aspects of the clinic’s internal billing processes to ensure timely, accurate claims submission and payment posting. This role works closely with clinical and administrative staff to support an efficient revenue cycle and ensure compliance with payer requirements. The ideal candidate will have a strong understanding of medical billing, payer rules (Medicaid, Medicare, and commercial), and a commitment to supporting the CARES Health mission to provide compassionate, accessible care.General ResponsibilitiesPrepare, review, and submit claims to payers accurately and in a timely manner.Review and correct claim rejections and denials; submit appeals as needed.Post payments and adjustments, reconciling against payer remittances.Maintain current knowledge of insurance billing requirements, coding updates, and compliance regulations.Track accounts receivable and follow up on unpaid or underpaid claims.Coordinate with clinical staff to ensure accurate documentation and coding of services.Review and process sliding fee program applications; verify income documentation, determine patient eligibility and discount level, and ensure accurate updates to patient accounts.Assist with administrative coordination, reporting, and documentation related to the clinic’s 340B Drug Pricing Program, including communication with contract pharmacies and program administrators as needed.Prepare monthly revenue cycle reports for leadership review.Requirements & QualificationsHigh school diploma or equivalent; associate’s degree preferred.Minimum 1 year of medical billing experience (Medicaid, Medicare, and commercial payers) and/or outpatient claims experience.Knowledge of CPT, HCPCS, ICD-10 coding, and payer-specific requirements.Strong understanding of revenue cycle processes and denial management.Proficiency with EHR/PM systems (eClinicalWorks experience preferred).Proficiency with Microsoft Excel and reporting tools.Preferred:Familiarity with FQHC, Ryan White, or community health center billing.Understanding of HRSA 340B compliance requirements and experience working with 340B programs in a healthcare setting.Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.Prolonged periods sitting at a desk and working on a computer.  Ability to move about the office and common areas to perform routine tasks.Ability to bend, push, pull, reach, and occasionally lift up to 20 pounds.Manual dexterity and hand-eye coordination to operate standard office equipment (e.g., computer, phone, copier)Sufficient vision and auditory acuity to perform job-related tasks, including reading, writing, and communicating with patients and staffABOUT Tulsa CARES & CARES HealthFor over 30 years, Tulsa CARES has provided a compassionate, community-centered response to the evolving HIV epidemic, supporting individuals as HIV has shifted from a fatal illness to a chronically managed disease. Today, Tulsa CARES stands as Oklahoma’s largest and most comprehensive provider of prevention and care programs for low-income individuals living with HIV and Hepatitis C. With deep trust already established in the community, Tulsa CARES was uniquely positioned to expand its services, ensuring clients could access care in a setting that felt safe, affirming, and familiar.CARES Health was built to carry that vision forward. Created as part of a broader plan to grow and sustain medical services, CARES Health operates from a newly developed 4,000+ square foot clinic conveniently located directly next door to Tulsa CARES. This purpose-built space ensures that more individuals receive high-quality, affirming, and integrated medical care, furthering our commitment to patient wellness and health equity.CARES Health seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. Tulsa CARES is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status. People with a criminal record are encouraged to apply.BENEFITS:Tulsa CARES offers a comprehensive benefits package, including health coverage, generous PTO, and retirement contributions. Details available upon request or during the interview process.Pay: $23.00 - $28.00 per hour, commensurate with experienceBenefits:401(k)401(k) matchingDental insuranceHealth insuranceLife insurancePaid time offVision insurancePeople with a criminal record are encouraged to applyAbility to Commute:Tulsa, OK 74112 (Required)Work Location: On-Site