Professional Billing Specialist - Follow Up and Denials

Professional Billing Specialist - Follow Up and Denials

Department:

Revenue Integrity

Job Description:

New to OU Health?  Ask your recruiter about our competitive wages and total rewards package.

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment.

SHIFT: M-F, Days w/some flexibility post-training completion. Training starts in

the early morning (630-7a)

This position may be filled as a Professional Billing Specialist I or II depending on individual experience, education, certification(s), and business need.

***Ideal candidate is self-motivated with problem-solving skills, has a general understanding of HIPAA and/or EOB and experience working with insurance companies.***

General Description

Entry‑level professional billing role responsible for accurate claim submission and routine follow‑up using established workflows in an academic medical environment. 

Essential Job Duties

Responsibilities listed in this section are core to the position.  Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. 

• Prepare and submit professional claims; correct routine claim errors and rejections. 
• Work assigned billing and follow‑up queues in Epic. 
• Apply foundational knowledge of CPT, ICD‑10‑CM, modifiers, and payer rules. 
• Meet productivity, quality, and timeliness standards. 

General Job Duties

• Performs other duties as assigned

Minimum Requirements (Level 1):

Education: High School Diploma or GED required.

Experience: At least 1 year of Medical Insurance experience.

Certification/License/Registration: None required.

Minimum Requirements (Level 2):

Education: High School Diploma or GED required.

Experience: At least 3 years of professional billing experience required.

Certification/License/Registration: CPB required within 1 year of hire date.

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.