Position Title: 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.