Senior Clinical Billing Specialist

About the Role

Title: Senior Clinical Billing Specialist

remote type

Remote work is an option

locations

Little Rock

time type

Full time

job requisition id

R0087382

Type of Position:

Clerical

Job Type:

Regular

Work Shift:

Day Shift (United States of America)

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</li>

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

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 preference, 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.

Department:

FIN | CORE CCBO HB Customer Srv

Department's Website:

Summary of Job Duties:

******Position is a remote position once trained on site and working in clinic is complete; requires high speed internet and confidential work area *************

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 practice 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.

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

Preferred:

Knowledge of EPIC billing system.

Experience in medical customer service, medical account review or analyzing insurance claims.

Additional Information:

KEY 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 obtain 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 assistance to other department regarding insurance policies, collection processes, and billing

• Document encounters and action in appropriate systems

• Demonstrate integrity, innovative 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:

$18.99/hr

Required Documents to Apply:

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

Optional Documents:

Proof of Veteran Status

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:

Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking

Frequent Physical Activity:

Crouching, Standing, Walking

Occasional Physical Activity:

Lifting, Pulling, Pushing

Benefits Eligible : Yes