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UAMS - University of Arkansas for Medical Sciences · 3 days ago

Senior Clinical Billing Specialist

Little Rock, AR

Full-time

Onsite

Mid, Senior Level

1+ years exp

The University of Arkansas for Medical Sciences (UAMS) is a collaborative health care organization focused on improving patient care and the lives of Arkansans. The Senior Clinical Billing Specialist is responsible for research, analysis, and resolution of physician and hospital accounts, working directly with various stakeholders to resolve complex billing issues.

EducationHealth CareNon Profit

No H1B

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

Qualification

Healthcare revenue cycleHIPAA regulationsEPIC billing systemWindows environmentBasic mathematical skillsVerbal communicationWritten communicationDetail oriented

Required

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

Knowledgeable of HIPAA regulations including patient confidentiality and always remains compliant

Demonstrate excellent verbal and written communication skills

Must be detail oriented and possess basic mathematical skills

Preferred

Knowledge of EPIC billing system

Proof of Veteran Status

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