Professional Billing Specialist - Follow Up and Denials
Position Title:
Professional Billing Specialist - Follow Up and DenialsDepartment:
Revenue IntegrityJob 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.