Position Title: Billing Office Specialist - Breast Health Network - Edmond Department: BHN-Southwest Job Description: General Description: The Billing Office Specialist will be responsible for verifying insurance coverage and obtaining authorizations and pre-certifications for all scheduled appointments for new and established patients, while ensuring patient satisfaction and quality. Essential Responsibilities: Provide customer service by answering incoming calls related to inquiries, and providing resolution based on established procedures. This includes, but is not limited to, inquiries from providers and patients regarding billing, eligibility, enrollment, provider network, program benefits, appeals and grievances. Calls may be triaged according to established procedures. Must maintain accurate, detailed, and well documented logs of each call. Generate insurance verification and precertification reports as requested. Contact insurance companies for patient benefits and precertification requirements. Utilize dedicated insurance and billing programs to research and resolve patient billing inquires and to establish up-front payment arrangements. (Passport, Artiva, Onbase and Host) Complete financial analysis and collect estimated patient liabilities. Provide estimates to patients and/or physicians as requested. Assists front office staff with ensuring point-of-service collections are made when applicable. Assist patients with payment arrangements and charity applications. Work closely with outside agencies in helping patients apply for Medicaid and state aid. Enter notes into the collections system for all patient encounters. Maintain journal for cash and credit card payments and provide backup cashiering functions as needed. Assists in maintaining patient billing files, records and other information. Maintains insurance files regarding updates and changes. Identifies, analyzes, and resolves work problems. Forward problems or concerns to Administrative Services Manager. Maintain professional image and implement excellent customer service to customers. Ensures that patients are treated courteously and that other visitors are screened and properly directed. Works with other staff to ensure efforts are coordinated and high-quality patient care is provided. Performs select administrative duties. Compiles and condenses statistical data for reports and records. Ensures any patient complaints are handled appropriately. Ensure all offices are opened and closed according to established procedures. Participates in professional development activities. General Responsibilities: Perform other duties as required and assigned. Minimum Qualifications: Education: High School Diploma or GED required. Experience: One (1) or more years of professional work experience required. Two (2) or more years of experience in medical office and 1 year of collections experience preferred. License(s)/Certification(s)/Registration(s) Required: None required. Knowledge, Skills and Abilities: Ability to communicate and instill a commitment to exemplary customer service, ensuring customer satisfaction, and member/provider retention. Demonstrated prioritization, problem-solving, organizational skills, and detail-oriented mindset. Ability to work independently and with limited supervision along with the ability to function effectively in a team environment. Ability to function effectively in a fast-paced and changing environment with multiple priorities and objectives. Ability to resolve conflicts, while maintaining professionalism, and ensuring exemplary customer service. Ability to evaluate processes and procedures for continuous process improvement. Ability to adapt to and work effectively in a fast paced and changing environment with multiple priorities. Intermediate word processing, spreadsheets and computer software skills. Knowledge and understanding of medical terminology. Knowledge of or experience in Medicaid/Medicare programs. Knowledge of or experience and understanding of medical terminology. Knowledge of organizational policies, procedures, systems and objectives. Knowledge of clinic office procedures. Ability to use computer systems and applications. Familiarity with medical practices terminology. Ability to use proper grammar, spelling, punctuation, and sentence structure to answer correspondence and reports. Ability to plan, organize, and oversee workflow. Ability to operate office equipment. Ability to communicate effectively with patients, clinical and administrative staff, and the public. Ability to interpret, adapt and apply guidelines, policies, and procedures, Ability to react calmly and effectively in emergency situations. Current OU Health Employees - Please click HERE to login. 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. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.

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2 Nov, 2026

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