Associate Clinical Billing Specialist

University of Arkansas•Little Rock, AR

18d•$17

About The Position

This position is responsible for working assigned work queues while following related policies and procedures. Under general supervision, The Associate Clinical Billing Specialist will complete responsibilities in Cash Posting, Cash Control, Credit, and Data Entry/Scanning. The Associate Clinical Billing Specialist is responsible for timely and accurate posting of payments and adjustments to all patient accounts from multiple sources; will interpret the explanation of benefits (EOB) and balance transfer money to the secondary insurance or patient liability; scan and index all supporting documentation for manually posted payments; perform in depth research on payments and/or adjustments resulting in a credit balance or undistributed funds.

Requirements

High School diploma/GED plus 2 years of experience in a healthcare revenue cycle-related function or an equivalent combination or education and experience

Nice To Haves

Bachelor’s degree OR High School diploma plus 4 years equivalent combination of education and experience in a healthcare revenue cycle related function.

Responsibilities

Identify credit balance accounts through system reports and online work lists/work queues
Receive request for refunds; research accounts for potential refund and adjust contractual allowances as needed.
Collects documentation and complete analysis to determine whether a refund is appropriate; process refunds timely
Research patient’s account history and apply patient overpayment to any outstanding patient balances(s).
Attach supporting documentation upon receipt of processed refunds, prepare for distribution, and balance to the patient accounting system and the accounts payable system
Review and resolve undistributed payments
Follow up on unpaid claims; verify patient demographics, insurance information/eligibility, non-coding charge information, and update accounts
Maintain working knowledge of payer groups and most current billing practices and regulations
Run eligibility on patients, 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 payor denial codes to UAMS standard denial codes and enter on patient account
Balance all payments and transactions on a daily basis; research unidentified cash and post
Report overpayments or refunds when identified during the payment posting process
Resolve undistributed payments; research payments, transfers funds and posts adjustments
Distribute payments within the patient accounting system and research payments received
Investigate recoupments, interest payments and miscellaneous payments
Claim payments, complete Records of Deposit, and split funds to balance with other departments, reconciling 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 environment, coordinating workflow and supporting a productive and efficient environment.
Demonstrate integrity and critical thinking skills and actively contribute to the success of the organization
Attends insurance carrier –provided training as needed
Performs other duties and responsibilities as needed.