Intermediate Clinical Billing Specialist

University of Arkansas for Medical Sciences • Little Rock, AR

4d • $18

About The Position

Under limited supervision, 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.

Requirements

• Minimum Bachelor’s degree in a related field OR associate’s degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function OR 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.

Responsibilities

• Complete electronic and paper specialized billing while reviewing claims for accuracy on all accounts assigned.
• Review and correct all claims that fail the billing system edits daily to ensure accurate and timely submission on accounts.
• Document all actions that are taken on accounts in the system account notes to ensure all prior actions are noted.
• Submit all corrected claims within time frames assigned by management or documents reasons for delays in EPIC.
• Complete review of claims in Change Health and notes in EPIC to delete duplicate claims from Change Health.
• When updating coverage, review accounts in EPIC and Change Health to make sure a claim is Demanded in EPIC to avoid duplicate billing.
• Contact the payer or patient when additional information is required to bill the account.
• Immediately report all new claim billing issues to management to coordinate with other departments and the electronic billing vendors to resolve barriers.
• Answer questions and provide appropriate information to fellow team members regarding the billing process and requirements. When unsure of a process, follow up with Management on questions/concerns.
• Identify ways to improve billing processes and provides recommendations for new or revised procedures. Collaborate with management on effective changes related to billing, achieving optimal financial outcomes, and compliance with regulations.
• Stay abreast of the latest developments, advancements, and trends in the field of medical billing by attending in-services, reviewing online information, and reading information from payers and fiscal intermediaries.
• Follow up with payers to ensure timely reimbursement.
• Work well with other departments to ensure accounts are worked appropriately and timely.
• Participate in compliance and regulatory programs.
• Work effectively in a team environment, coordinating workflow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA.
• Demonstrate a high level of integrity and innovative thinking and actively contributes to the success of the organization.
• Complete all required reports accurately and timely.
• Demonstrate positive working relationships with co-workers, management team, and ancillary departments.
• Assume responsibility for completing or assisting on special projects as assigned by the manager.
• Adhere to UAMS and Centralized Business Office Department-related policies and procedures.
• Adhere to UAMS confidentiality and HIPAA policies.
• Participate in regular review and utilize feedback for continued quality improvement.
• Maintain good working relationships with patients and families, visitors, physicians and other employees; fellows hospital guest relations guidelines and “Circle of Excellence” criteria.
• Performs other duties as assigned.

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: Mid Level
• Number of Employees: 5,001-10,000 employees