Professional Billing Specialist - Follow Up and Denials

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.

About Us

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research.

Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.