Associate Clinical Billing Specialist

University of Arkansas • Little Rock, AR

1d • Hybrid

About The Position

The Associate Clinical Billing Specialist works assigned work queues under general supervision and follows related policies and procedures. The role handles cash posting, cash control, credits, and data entry/scanning, including timely and accurate posting of payments and adjustments from multiple sources. It interprets explanation of benefits (EOBs) and transfers balances to secondary insurance or patient liability.

The specialist scans and indexes supporting documentation for manually posted payments and researches payments or adjustments that result in credit balances or undistributed funds. The role is accountable for daily balancing and tracking of cash and adjustment posting, balancing summary activity in the patient accounting system, reconciling unapplied cash accounts, posting denial information, researching missing payments, and reviewing insurance and patient account credits to determine whether refunds are required.

Remote work requires 90 days of on-site training, followed by up to two days per week on-site. The specialist must be detail oriented and have basic mathematical skills, above-average communication skills, and exceptional attention to detail.

Requirements

• Associate’s degree, or a high school diploma/GED plus two years of experience in a healthcare revenue cycle-related or bookkeeping function.
• Familiarity with Microsoft Windows.
• Ability to accurately read, analyze, and interpret payer contract documents to determine reimbursement and analyze credit balances.
• Basic mathematical skills, above-average communication skills, and exceptional attention to detail.

Responsibilities

• Identify credit balance accounts through system reports and online work lists or work queues.
• Receive refund requests and research accounts for potential refunds; adjust contractual allowances as needed.
• Collect documentation and analyze whether a refund is appropriate, then process refunds in a timely manner.
• Research patient account history and apply patient overpayments to outstanding patient balances.
• Attach supporting documentation for processed refunds, prepare refunds for distribution, and balance them to the patient accounting and accounts payable systems.
• Review and resolve undistributed payments.
• Follow up on unpaid claims; verify patient demographics, insurance information and eligibility, and non-coding charge information; update accounts.
• Maintain working knowledge of payer groups and current billing practices and regulations.
• Run patient eligibility checks, verify insurance, and request outside records.
• Post payments and adjustments to accounts in the patient accounting system.
• Interpret EOBs and transfer remaining patient and secondary insurance liability to the appropriate accounts.
• Translate payer denial codes to UAMS standard denial codes and enter them on patient accounts.
• Balance payments and transactions daily; research unidentified cash and post it.
• Report overpayments or refunds identified during payment posting.
• Research undistributed payments, transfer funds, post adjustments, distribute payments in the patient accounting system, and research payments received.
• Investigate recoupments, interest payments, and miscellaneous payments.
• Claim payments, complete Records of Deposit, split funds to balance with other departments, and reconcile bank reports, EFTs, insurance checks, personal payments, and Point of Service payments.
• Prepare batches for manual payment posting and ensure all money is accounted for and allocated.
• Research payments and interact with insurance carriers and other agencies.
• Work effectively in a team, coordinate workflow, and support a productive and efficient environment.
• Demonstrate integrity and critical thinking and contribute to the success of the organization.
• Attend insurance carrier-provided training as needed.
• Perform other duties and responsibilities as needed.

Benefits

• Medical, dental, and vision plans available for qualifying staff and family.
• Holiday, vacation, and sick leave.
• Education discount for staff and dependents (undergraduate only).
• Retirement contribution matched by UAMS up to 10%.
• Basic life insurance up to $50,000.
• Career training and educational opportunities.
• Merchant discounts.
• Concierge prescription delivery on the main campus when using the UAMS pharmacy.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree