Senior Clinical Billing Specialist

University of Arkansas System • Little Rock, AR

3d

About The Position

The Senior Clinical Billing Specialist is an area expert who works under general direction and researches, analyzes, and resolves physician and hospital accounts. The position works directly with patients, providers, insurers, departments, and other staff to investigate complex accounts, analyze information, and review procedures and regulations to resolve issues. The specialist reviews reports, monitors account status, recommends changes to operating procedures and policies, and organizes effective billing activities. The role requires knowledge of HIPAA regulations and patient confidentiality, compliance with UAMS policies, excellent verbal and written communication, attention to detail, and basic mathematical skills.

Requirements

• Bachelor’s degree in a related field and one year of experience in a healthcare revenue cycle-related function; or an associate’s degree in a related field and three years of such experience; or a high school diploma/GED and five years of experience in a healthcare revenue cycle-related or bookkeeping function.
• Familiarity with a Windows environment.
• Ability to accurately read, analyze, and interpret payer contract documents to determine reimbursement and analyze credit balances.
• Excellent verbal and written communication skills.
• Attention to detail and basic mathematical skills.
• Knowledge of HIPAA regulations, patient confidentiality, and compliance requirements.

Nice To Haves

• Knowledge of the EPIC billing system.

Responsibilities

• Investigate account balances and causes of non-payment; initiate claim adjustments and resubmit clean claims to payers or bill patients.
• Complete appeals within established time frames to avoid write-offs.
• Identify root causes of denials and develop solutions to prevent future denials; prepare appeal letters and obtain necessary documentation.
• Complete cash reconciliation.
• Assist patients with billing, service, and insurance questions by phone or other electronic means; verify proper insurance billing and posting of financial assistance.
• Update systems with insurance or patient demographic corrections; verify new insurance information with payers and submit or resubmit claims.
• Accept payments and post them to account systems.
• Assist collection agencies to ensure uninterrupted self-pay collections.
• Set up payment plans, post payments, and complete end-of-day processing.
• Read, analyze, and interpret contract documents.
• Prepare records, reports, summaries, analyses, evaluations, and recommendations; develop statistical data.
• Assist other departments with insurance policies, collection processes, and billing.
• Document encounters and actions in appropriate systems.
• Demonstrate integrity and innovative thinking and actively contribute to the organization's success.
• Comply with policies and procedures, confidentiality requirements, and HIPAA requirements.
• 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: Senior