Intermediate Clinical Billing Specialist

University of Arkansas•Little Rock, AR

6h•Onsite

About The Position

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks ( available for benefits eligible positions only ): 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 The Intermediate Clinical Billing Specialist is responsible for timely and accurate management of payer rejections in the clearinghouse, claim edits in EPIC, and ensuring claims go out to the payer within timely filing deadlines with a goal of clean claim submission. This position must understand 3rd party billing requirements; analyze patient account balances and various payer contract terms, have basic accounting skills and be able to utilize a calculator and systems functionality to calculate expected reimbursement from payers. The Intermediate Clinical Billing Specialist must be detail oriented and demonstrate strong verbal and written communication skills. Position is "On-Site"

Requirements

Bachelor's degree in a related field or equivalent combination of education and experience.
Associate's degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function.
High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function.

Nice To Haves

Six (6) months of medical billing experience preferred with a basic understanding of CPT and ICD 10, and familiarity with the Windows environment and billing software
Basic understanding of HCPCS coding
EPIC experience is also a plus

Responsibilities

Complete electronic and paper specialized billing while reviewing claims for accuracy
Review and correct claims that fail the 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 the account
Report claim billing issues to management
Answer questions and provide information to team members regarding the billing process and requirements
Identify improvements to billing processes and provide recommendations; collaborate with management on effective changes, achieving optimal financial outcomes, in compliance with regulations
Attend in-services, review online information, and review 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 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 related policies and procedures
Demonstrate time management skills, integrity and innovative thinking
Complete or assist on special projects
Participate in regular reviews and utilize feedback for continued quality improvement
Maintain good working relationship with patients and families, visitors, physician and others
Perform other duties as assigned