Senior Clinical Billing Specialist

Posted:
9/23/2024, 3:51:33 AM

Location(s):
Arkansas, United States ⋅ Little Rock, Arkansas, United States

Experience Level(s):
Senior

Field(s):
Medical, Clinical & Veterinary

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Closing Date:

10/14/2024


Type of Position:

Staff - Clerical


Job Type:

Regular


Work Shift:

Sponsorship Available:

No


Institution Name:

University of Arkansas for Medical Sciences


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, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. 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.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected].


Department:

FIN | CORE CCBO Commercial


Department's Website:


Summary of Job Duties:

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.


Qualifications:

Minimum Qualifications:

  • 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

  • Bachelors' 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.

Additional Requirements:

  • 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.
  • Must possess excellent verbal and written communication skills and the ability to maintain professional standards at all times.

Preferred Qualifications:

  • Knowledge of Epic billing system
  • Experience in medical customer service, medical account review or analyzing insurance claims.


Additional Information:

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


Salary Information:

Commensurate with education and experience


Required Documents to Apply:

List of three Professional References (name, email, business title), Resume


Optional Documents:

Proof of Veteran Status


Special Instructions to Applicants:


Recruitment Contact Information:

Please contact [email protected] for any recruiting related questions.


All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.


Pre-employment Screening Requirements:

Criminal Background Check


This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 


Constant Physical Activity:

Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting


Frequent Physical Activity:

Hearing, Talking


Occasional Physical Activity:

Standing, Stooping, Walking


Benefits Eligible:

Yes