Professional Billing Payment Specialist II - EDI Specialist

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Job Description:

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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.