Professional Billing Specialist - Follow Up and Denials

OU Medical Center

Oklahoma

Hybrid

USD 42,000 - 65,000

Full time

5 days ago
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Job summary

OU Health in Oklahoma seeks a Professional Billing Specialist – Follow Up and Denials in the Revenue Integrity department. This entry‑level to mid‑level role handles professional claims, routine follow‑up, and denial resolution in an academic medical environment.

The ideal candidate has 1+ year of medical insurance experience, with Epic billing workflow knowledge, and the CPB credential within one year of hire. Work schedule is Monday–Friday, 8a–5p, with some flexibility.

Qualifications

  • Education and experience as stated in the job posting.
  • CPB certification within 1 year of hire.
  • Experience in medical insurance and professional billing.

Responsibilities

  • 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.

Skills

Follow-up billing
Attention to detail
Communication skills

Education

High School Diploma or GED
CPB certification

Tools

Epic

Job description

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, 8a-5p (some flexibility may be available)

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 will have experience with follow-up and denials.
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
  • 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.

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.

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