Position Title:
Professional Billing Payment Specialist II - EDI Specialist
Department:
Revenue Integrity
Job Description:
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 .
SHIFT: M-F, 8a-5p (some flexibility may be available)
***Ideal candidate will have experience with Experian and electronic claim submission/rejection (EDI).****
General Description
The Professional Billing Payment Specialist II is a fully proficient cash posting professional who independently manages electronic remittance processing, cash management workflows, and routine to moderately complex exception resolution.
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.
Process and reconcile PLBs (provider level adjustments)
Independently process electronic remittance files (835/EFT) using Epic automated and manual workflows.
May resolve common to moderately complex cash management and remittance discrepancies.
Apply judgment in clearing account usage and initiate corrections as payments are identified.
Support payment and remittance reconciliation activities.
Serve as a functional resource for peers.
May assist with claims clearinghouse activities.
May handle special client account activities.
General Job Duties
Performs other duties as assigned
Minimum Requirements
Education:
High School Diploma or GED required.
Experience:
At least 3 years of physician billing payment processing experience required.
Certification/License/Registration:
CPB required to be obtained within 1 year.
Knowledge, Skills & Abilities
Attention to detail
Excellent verbal and written communication skills
Proficient with the use of Microsoft Office tools
Applied expertise in professional billing remittance and cash management workflows.
Strong analytical and problem-solving skills.
Ability to manage competing priorities independently.
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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.