Professional Billing Specialist - Follow Up and Denials

OU Medical Center; Oklahoma City (OK); On-site; USD 29,000 - 39,000; Full time

Benefits offered by this job

PTO

401(k)

Medical insurance

Dental insurance

Job summary

OU Health is seeking a Professional Billing Specialist - Follow Up and Denials in our Revenue Integrity department. You will prepare and submit professional claims, follow up on denials, and apply CPT, ICD-10-CM, and payer rules to maximize clean claims.

This entry- to mid-level role requires 1 year of medical insurance experience or more, strong problem-solving skills, and familiarity with EOB processes. Training is provided; candidates must reside and work in OK to be eligible for remote

Qualifications

• Education: High School Diploma or GED required.
• Experience: At least 1 year of Medical Insurance experience.
• Certification/License/Registration: CPB required within 1 year of hire date.
• Proficiency with CPT/ICD-10-CM and payer rules preferred.

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.

Skills

Problem solving

HIPAA knowledge

EOB understanding

Education

High School Diploma or GED

CPB certification

Job description

Professional Billing Specialist - Follow Up and Denials

Department: Revenue Integrity

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

• 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.