Associate Clinical Billing Specialist

University of Arkansas System • Little Rock, AR

4d • 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, ensuring timely and accurate posting of payments and adjustments to patient accounts from multiple sources. The specialist interprets explanations of benefits (EOBs) and transfers balances to secondary insurance or patient liability; scans and indexes supporting documentation for manually posted payments; and researches payments or adjustments that result in credit balances or undistributed funds.

The position is accountable for daily balancing and tracking of cash and adjustment posting, balancing summary activity in the patient accounting system, reconciling unapplied cash accounts, and posting denial information. It also involves researching missing payments with payers or a clearinghouse, reviewing insurance and patient account credits to determine whether refunds are required, and handling refunds and payment allocations. The successful candidate is detail-oriented and has basic mathematical skills, above-average communication skills, and exceptional attention to detail.

Remote work requirements include 90 days of on-site training and up to two days per week on-site thereafter.

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.
• Ability to 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, research accounts for potential refunds, and adjust contractual allowances as needed.
• Collect documentation and analyze whether refunds are appropriate; 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 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, and post adjustments.
• Distribute payments within the patient accounting system and research received payments.
• 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 for qualifying staff and family.
• Holiday, vacation, and sick leave.
• Education discount for staff and dependents (undergraduate only).
• Retirement contribution match of 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