Professional Billing - Insurance Credit Balance Rep

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Department:

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. If you currently reside outside of these 5 states and will not be relocating, please do not apply.

**These positions are available in levels 1 or 2 depending on experience, education, and licenses/certifications**

*Ideal candidate will have experience with reading and interpreting EOBs, working within EMR systems (EPIC preferrred), and has experience in billing and collections for medical facilities.*

General Description

Under general supervision, the Professional Billing Credit Balance Specialist I performs foundational credit balance review and resolution activities to support accurate patient and payer account balances within Epic Professional Billing.

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.

• Identify and review professional billing credit balances for accuracy and resolution.

• Perform routine credit balance adjustments and refund requests following established policies.

• Research basic overpayments related to duplicate payments, posting errors, or payer processing.

• Document actions taken and route complex issues for escalation per guidelines.

• Maintain productivity and quality 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 credit resolution experience required.

Certification/License/Registration: None required.

Minimum Requirements (Level 2)

Education: High School Diploma or GED required.

Experience: At least 3 years of medical insurance credit resolution experience required.

Certification/License/Registration: CPB required to be obtained within 1 year.

Knowledge, Skills & Abilities

• Attention to detail

• Good verbal and written communication skills

• Proficient with the use of Microsoft Office tools

• Foundational knowledge of professional billing account structures and payment workflows.

• Ability to follow unit defined workflows and apply policies consistently.

• Understanding of explanation of benefits (EOB) and insurance reimbursement methodologies.

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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.

Originally posted on Himalayas