Billing Accountant II

Job Posting Title
Billing Accountant II

Agency
340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization
340 Financial Services

Job Posting End Date (Continuous if Blank)
July 21, 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
Up to $53,600, 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 : Central Office - 123 Robert S. Kerr Avenue

Salary : Up to $53,600, based on education and experience

Full Time /Part Time : Full Time

Work Schedule : Monday-Friday

Primary Hours : 8am-5pm

Position Description

The Billing Accountant II is responsible for creating complex invoices, multiple queries, calculations, and reconciliations. Creates Medicaid invoices and works with the Oklahoma Health Care Authority. Ensure contract requirements are met, and all expenses are invoiced through reconciliations. Work on medical billing claims sent by mail and newborn screening invoices.

Position Responsibilities/Essential Functions:

• Create complex invoices involving multiple queries and calculations; ensure contract requirements are met; reconcile contracts quarterly and at contract close to ensure all expenses are billed.
  
• Records IDC for assigned contracts and ensures IDC limits are not exceeded. Works with accountants to create Indirect Cost (IDC) invoices. Gathers IDC from billing to create contract IDC invoices.
  
• Work with programs to ensure all documentation for invoices is received; post on billable contract tracker; track to ensure payment; and work with vendors on unpaid invoices.
  
• Review the unclaimed deposit list from the Treasury and notify the billing manager when we have unclaimed money more than 2 weeks old.
  
• Create Medicaid invoices; communicate with OHCA on Medicaid invoices; ensure all Medicaid contract requirements are met; and update Medicaid rates as needed.
  
• Verify draws were accurately drawn on correct accounts/subaccounts; notify collections to begin the draw receipt process; and track to ensure funds are deposited on the correct funding.
  
• Collects medical billing payments sent by mail from private insurance companies, Managed Care Organizations, Medicaid, and Medicare; sends payments to collections to be receipted; and ensures EOBs are sent to OSDH medical billing.
  
• Maintain billing charts, record receipts for payments in ORBS
  
• Crosstrain trains with other billing accountants and serves as a backup.
  
• Maintain procedures/steps for all billing accountant II processes.
  
• Being present in the office is an essential function of this 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

Education and experience requirements at this level consist of a bachelor’s degree in accounting, business, finance or a closely related field plus one year 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.

Preferred Qualifications:

• Peoplesoft experience
  
• Knowledge of OHCA’s Medicaid billing
  
• Knowledge of NBS claims billing system
  
• Knowledge of hospital billing
  

Valued Knowledge, Skills and Abilities

Knowledge, Skills, and Abilities required at this level include knowledge of Microsoft Office Suite and computer technology related to accounting systems and billing practices.

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. Applicants must be willing to perform all job-related travel associated with this position. Occasionally, in state overnight and weekend travel may be required. 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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