Professional Billing Specialist – Follow Up and Denials
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Job Description
Remote medical billing specialist submitting professional claims and managing follow-up and denials for OU Health. Supporting Epic-based revenue integrity operations across five eligible states.
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
- Perform other duties as assigned
- Role may be filled as Professional Billing Specialist I or II depending on experience, education, certifications, and business need
Requirements:
- High School Diploma or GED required
- Level 1: At least 1 year of Medical Insurance experience
- Level 2: At least 3 years of professional billing experience required
- Level 2: CPB required within 1 year of hire date
- Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment
- Monday-Friday, 8 a.m.-5 p.m. schedule
- Experience with follow-up and denials ideal
- Knowledge of CPT, ICD-10-CM, modifiers, and payer rules
- Ability to meet productivity, quality, and timeliness standards
- Ability to prepare and submit professional claims and correct routine claim errors and rejections
- Ability to work billing and follow-up queues in Epic
Benefits:
- Competitive wages and total rewards package
- Paid time off (PTO)
- 401(k)
- Medical plans
- Dental plans
- Comprehensive benefits package
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