Professional Billing Specialist - Follow Up and Denials

OU Health; Texas; On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Job summary

OU Health seeks a Professional Billing Specialist in the Revenue Integrity department to manage follow-up and denials within Epic. The ideal candidate has HIPAA knowledge, insurance experience, and strong problem-solving skills.

Remote eligibility requires residency in AR, KS, MO, OK, or TX, with shift M-F and training starting in the early morning. Level 1 or Level 2 roles may apply depending on education and experience.

Qualifications

• Self-motivated with problem-solving skills.
• General understanding of HIPAA and EOB.
• Experience working with insurance companies.

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, ICD10CM, modifiers, and payer rules.
• Meet productivity, quality, and timeliness standards.

Skills

Problem solving

HIPAA knowledge

Insurance industry experience

Epic

CPT coding

ICD-10-CM

Education

High School Diploma or GED

Tools

Epic

Job description

Position Title: 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

Entrylevel professional billing role responsible foraccurateclaim submission and routine followup 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 andsubmitprofessional claims; correct routineclaimerrors and rejections.
• Work assigned billing and followup queues in Epic.
• Apply foundational knowledge of CPT, ICD10CM, 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.