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Professional Billing Specialist - Follow Up and Denials

Role overview

Qualifications

  • High School Diploma or GED required
  • At least 1 year of Medical Insurance experience for Level 1
  • At least 3 years of professional billing experience for Level 2
  • CPB required within 1 year of hire date for Level 2

Responsibilities

  • Prepare and submit professional claims
  • Correct routine claim errors and rejections
  • Work assigned billing and follow-up queues in Epic
  • Meet productivity, quality, and timeliness standards

Key facts

Other skills

  • Time Management
  • Detail Oriented

About the company

OU Health logo

OU Health

Hospitals & Health Care

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 and Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center. 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. To learn more, visit ouhealth.com.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

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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

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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Current OU Health Employees - Please click HERE to login.

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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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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