Professional Billing Specialist - Follow Up and Denials
About The Position
The Professional Billing Specialist works in Revenue Integrity in an academic medical environment. This entry-level role supports accurate professional claim submission and routine follow-up using established workflows. The position may be filled at Level I or Level II based on the candidate’s experience, education, certifications, and business need. Experience with follow-up and denials is ideal. Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas before their first day of employment. The schedule is Monday through Friday, 8 a.m. to 5 p.m.; some flexibility may be available.
Requirements
- High school diploma or GED.
- For Level I: at least 1 year of medical insurance experience.
- For Level II: at least 3 years of professional billing experience.
- For Level II: CPB certification required within 1 year of hire.
- No certification, license, or registration is required for Level I.
Nice To Haves
- Experience with follow-up and denials.
Responsibilities
- Prepare and submit professional claims and 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.
Benefits
- Paid time off (PTO)
- 401(k)
- Medical plans
- Dental plans
- Comprehensive benefits package
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
