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UAMS - University of Arkansas for Medical Sciences · 1 day ago

Associate Clinical Billing Specialist

Little Rock, AR

Full-time

Onsite

Entry Level

2+ years exp

The University of Arkansas for Medical Sciences (UAMS) is a collaborative health care organization focused on improving patient care. The Associate Clinical Billing Specialist is responsible for managing billing processes including cash posting, credit adjustments, and ensuring accurate patient account management.

EducationHealth CareNon Profit

No H1B

Responsibilities

Identify credit balance accounts through system reports and online work lists/work queues

Receive request for refunds; research accounts for potential refund and adjust contractual allowances as needed

Collects documentation and complete analysis to determine whether a refund is appropriate; process refunds timely

Research patient’s account history and apply patient overpayment to any outstanding patient balances(s)

Attach supporting documentation upon receipt of processed refunds, prepare for distribution, and balance to the patient accounting system and the accounts payable system

Review and resolve undistributed payments

Follow up on unpaid claims; verify patient demographics, insurance information/eligibility, non-coding charge information, and update accounts

Maintain working knowledge of payer groups and most current billing practices and regulations

Run eligibility on patients, verify insurance and request outside records

Post payments and adjustments to accounts in the patient accounting system

Interpret EOBs and transfer remaining patient and secondary insurance liability to appropriate accounts

Translate payor denial codes to UAMS standard denial codes and enter on patient account

Balance all payments and transactions on a daily basis; research unidentified cash and post

Report overpayments or refunds when identified during the payment posting process

Resolve undistributed payments, research payments, transfers funds and posts adjustments

Distribute payments within the patient accounting system and research payments received

Investigate recoupments, interest payments and miscellaneous payments

Claim payments, complete Records of Deposit, and split funds to balance with other departments, reconciling bank reports, EFTs, insurance checks, personal payments, and Point of Service payments

Prepare batches for manual payment posting and ensure all money is accounted for and allocated

Research payments and interact with insurance carriers and other agencies

Work effectively in a team environment, coordinating workflow and supporting a productive and efficient environment

Demonstrate integrity and critical thinking skills and actively contribute to the success of the organization

Attends insurance carrier –provided training as needed

Performs other duties and responsibilities as needed

Qualification

Healthcare revenue cycleCash postingData entryWindows environmentAttention to detailCommunication skillsCritical thinking

Required

High School diploma/GED plus two (2) years of experience in a healthcare revenue cycle related or bookkeeping function OR associate's degree in a related field

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

Benefits

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

Company

UAMS - University of Arkansas for Medical Sciences

Glassdoor3.6

UAMS is the state’s only comprehensive academic health center, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a northwest Arkansas regional campus; a statewide network of regional centers; and seven institutes: the Winthrop P.

Founded in 1879

Little Rock, Arkansas, USA

10001+ employees