Senior Clinical Billing Specialist

University of Arkansas System•Little Rock, AR

23h•$19•Onsite

About The Position

The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible for research, analysis and resolution of physician and hospital accounts. This position works directly with patients, providers, insurers, departments, and other staff in researching complex accounts, analyzing various information, and reviewing procedures and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts, recommend changes in operating procedures and policies, and organize best methods to complete billing activities. The position is knowledgeable of HIPAA regulations including patient confidentiality and always remains compliant. The position follows all UAMS policies and must demonstrate excellent verbal and written communication skills. Must be detail oriented and possess basic mathematical skills.

Requirements

Bachelor’s degree in a related field plus one (1) year of experience in a healthcare revenue cycle related function OR Associate’s degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function OR High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function.
Must be familiar with Windows environment with the ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement; analyze credit balance.

Nice To Haves

Knowledge of EPIC billing system.

Responsibilities

Investigate account balances and cause for non-payment, initiating claim adjustments, and re-submitting a clean claim to the payer or billing to patient
Complete appeals within established time frame to avoid write offs
Identify root cause of denials and create optimal solutions to prevent future denials; compose appeal letters for accounts denied and obtained necessary documentation.
Complete cash reconciliation
Assist patients with billing, service and insurance questions; discuss accounts by phone and/or other electronic means to address concerns, verify insurance is properly billed and financial assistance posted
Update systems with insurance or patient demographic corrections; verify new insurance information with payers; submit/resubmit claims
Accept payments and post to the 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
Provide assistant to other department regarding insurance policies, collection processes, and billing
Document encounters and action in appropriate systems
Demonstrate integrity, innovate thinking, and make an active contribution to the success of the organization
Comply with policy and procedures, confidentiality, and HIPAA policies and requirements
Perform other duties as assigned