Senior Clinical Billing Specialist

University of Arkansas System•Little Rock, AR

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 Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected]. 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

High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function.
OR Associate's degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function.
OR Bachelor's degree in a related field plus one (1) year of experience in a healthcare revenue cycle related function or equivalent combination of education and experience.
Must be detail oriented and possess basic mathematical skills.
Must demonstrate excellent verbal and written communication skills.
knowledgeable of HIPAA regulations including patient confidentiality and always remains compliant.
The position follows all UAMS policies

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