Professional Billing - Insurance Credit Balance Rep

OU Health•WFH State of Oklahoma, OK

1d•Remote

About The Position

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. This role is available in levels 1 or 2 depending on experience, education, and licenses/certifications. Candidates must reside and work full-time in AR, KS, MO, OK, or TX.

Requirements

High School Diploma or GED required.
At least 1 year of medical insurance credit resolution experience required (Level 1).
At least 3 years of medical insurance credit resolution experience required (Level 2).
CPB required to be obtained within 1 year (Level 2).
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.

Nice To Haves

Experience with reading and interpreting EOBs
Working within EMR systems (EPIC preferred)
Experience in billing and collections for medical facilities

Responsibilities

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.
Performs other duties as assigned