Insurance Credit Balance Representative
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Job Description
Remote medical billing specialist resolving professional insurance credit balances in Epic for OU Health. Reviewing overpayments, processing refunds, and escalating complex account issues.
Responsibilities:
- Identify and review professional billing credit balances for accuracy and resolution
- Perform routine credit balance adjustments and refund requests according to established policies
- Research basic overpayments related to duplicate payments, posting errors, or payer processing
- Document actions taken and route complex issues for escalation according to guidelines
- Maintain productivity and quality standards
- Perform other duties as assigned
Requirements:
- Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before the first day of employment
- High School Diploma or GED required
- Level 1: At least 1 year of medical insurance credit resolution experience required
- Level 2: At least 3 years of medical insurance credit resolution experience required
- Level 2: CPB required to be obtained within 1 year
- Experience reading and interpreting EOBs
- Experience working within EMR systems; EPIC preferred
- Experience in billing and collections for medical facilities
- Attention to detail
- Good verbal and written communication skills
- Proficient with Microsoft Office tools
- Foundational knowledge of professional billing account structures and payment workflows
- Ability to follow defined workflows and apply policies consistently
- Understanding of explanation of benefits (EOB) and insurance reimbursement methodologies
Benefits:
- Competitive wages and total rewards package
- Paid time off (PTO)
- 401(k)
- Medical plans
- Dental plans
- Comprehensive benefits and compensation package
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