Lead Clinical Billing Specialist

University of Arkansas for Medical Sciences•Little Rock, AR

2d•Onsite

About The Position

The Lead Clinical Billing Specialist addresses all incoming inquiries from Customer Service Staff, UAMS employee, whether by phone, mail or in person concerning physician & hospital accounts. Handles all customer service duties and serves as a technical resource for other customer service staff. Assist in training new employees and provides guidance as needed. Requests access for all new hires including work queues, programs etc. In the absence of the Customer Service Manager responsible for supervising staff through ACD Call monitoring system as well as making scheduling changes to breaks/lunch/clerical time during absences and vacations to ensure coverage, adjusting work assignments & lead bi- monthly unit meetings. Documents all activity in patient accounts. Applies 3rd party knowledge billing practices and regulations in the management of assigned accounts. Is fully familiar with Medicaid and other government programs, in order to assist patients who are without Third Party Coverage or are underinsured by their coverage. Processes reports for Payment Posting manager in her absence for the Physician Billing Director. Approves refunds to patients & insurance companies. Performs weekly audits on staff adjustments to physician charges. Scans backup into the system from CI deposits. Performs Quality Reviews on staff according to standard procedure. Position works on-site

Requirements

Bachelor's degree in business, Communications or other field plus three (3) years' experience in a customer service setting, including one (1) year of supervisory experience in an office setting.
OR High School diploma plus seven (7) years' experience in a customer service setting, including one year of supervisory experience in an office setting.
Must be familiar with Third Party insurance rules and regulations, Medicaid and other government programs and facility's charity and payment plan options.

Nice To Haves

Experience in a high-volume customer service center or hospital revenue cycle related setting.
Epic experience preferred.

Responsibilities

Addresses all incoming inquiries from Customer Service staff UAMS employee, whether by phone, mail or in person concerning physician & hospital accounts.
Handles all customer service duties and serves as a technical resource for other customer service staff.
In the absence of the Customer Service Manager responsible for supervising staff through ACD Call monitoring system as well as making scheduling changes to breaks/lunch/clerical time during absences and vacations to ensure coverage, adjusting work assignments & lead bi- monthly unit meetings.
Documents all activity in patient accounts.
Applies 3rd party knowledge billing practices and regulations in the management of assigned accounts.
Is fully familiar with Medicaid and other government programs, in order to assist patients who are without Third Party Coverage or are underinsured by their coverage.
Approves refunds to patients & insurance companies.
Performs weekly audits on staff adjustments to physician charges.
Scans backup into the system from CI deposits.
Performs Quality Reviews on staff.
In addition to handling all duties of a Customer Service Representative, serves as a technical resource for other Customer Service Staff, assists with training of new employees, and provides guidance and answers needed for all staff.
Supervises staff in the absence of the manager.
Incoming telephone messages and ACD call monitoring system as well as making scheduling changes to breaks/lunch/clerical time during absences and vacations to ensure coverage.
Processes reports for Payment Posting manager in her absence for the physician Billing Director.
Other duties as assigned.