Associate Clinical Billing Specialist

University of Arkansas • Little Rock, AR

6d • Onsite

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. This position is accountable for daily balancing and tracking of cash and adjustment posting, and will balance summary activity in the patient accounting system, reconcile unapplied cash accounts, and post denial information; research missing payments with payers or clearinghouse to ensure all monies are claimed and posted; review credits on insurance and patient accounts to determine whether refunds are required. The Associate Clinical Billing specialist must be detail oriented and possess basic mathematical skills, above average communication skills, and exceptional attention to detail. This position works on-site

Requirements

• High School diploma/GED plus 2 (two) years of experience in a healthcare revenue cycle-related function or an equivalent combination or education and experience OR Bachelor's Degree OR High School diploma plus (4) four years equivalent combination of education and experience in a healthcare revenue cycle related function.
• The Associate Clinical Billing specialist must be detail oriented and possess basic mathematical skills, above average communication skills, and exceptional attention to detail.
• This position works on-site

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.

Benefits

• Health: 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: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED