[Hiring] Professional Billing - Insurance Credit Balance Representative @OU Health

Role 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.

• 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.

Qualifications

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

Requirements

• 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.

Benefits

• Comprehensive benefits package, including PTO.
• 401(k).
• Medical and dental plans.
• Additional benefits designed to meet specific needs both inside and outside of the work environment.