Intermediate Clinical Billing Specialist

University of Arkansas System • Little Rock, AR

9d • Onsite

About The Position

The Intermediate Clinical Billing Specialist is responsible for timely and accurate management of payer rejections in the clearinghouse and claim edits in EPIC, and for ensuring claims are sent to payers within timely filing deadlines with the goal of clean claim submission. The role requires understanding third-party billing requirements, analyzing patient account balances and payer contract terms, applying basic accounting skills, and using a calculator and system functionality to calculate expected payer reimbursement. The specialist must be detail-oriented and demonstrate strong verbal and written communication skills.

This is an on-site position with the FIN | CORE CCBO Commercial department at the University of Arkansas for Medical Sciences.

Requirements

• Bachelor's degree in a related field, or an equivalent combination of education and experience.
• Alternatively, an associate's degree in a related field plus two years of experience in a healthcare revenue cycle-related function.
• Alternatively, a high school diploma or GED plus four years of experience in a healthcare revenue cycle-related or bookkeeping function.
• Understand third-party billing requirements.
• Have basic accounting skills and be able to use a calculator and system functionality to calculate expected payer reimbursement.
• Be detail-oriented and demonstrate strong verbal and written communication skills.

Nice To Haves

• Six months of medical billing experience.
• Basic understanding of CPT and ICD-10.
• Familiarity with the Windows environment and billing software.
• Basic understanding of HCPCS coding.
• EPIC experience.

Responsibilities

• Complete electronic and paper specialized billing while reviewing claims for accuracy.
• Review and correct claims that fail billing system edits, and document all actions.
• Review accounts in EPIC and other systems to avoid duplicate claims and billing.
• Contact payers or patients to collect additional information required to bill an account.
• Report claim billing issues to management.
• Answer questions and provide information to team members regarding the billing process and requirements.
• Identify billing process improvements, make recommendations, and collaborate with management on effective changes that achieve optimal financial outcomes in compliance with regulations.
• Attend in-services and review online information and information from payers and fiscal intermediaries.
• Follow up with payers to ensure timely reimbursement.
• Participate in compliance and regulatory programs.
• Work effectively in a team environment, coordinate workflow, and help ensure a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards, including CMS, Joint Commission, and EMTALA.
• Comply with UAMS and Centralized Business Office Department policies and procedures.
• Demonstrate time management skills, integrity, and innovative thinking.
• Complete or assist with special projects.
• Participate in regular reviews and use feedback for continued quality improvement.
• Maintain good working relationships with patients and families, visitors, physicians, and others.
• Perform other duties as assigned.

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 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: Mid Level