UAMS - University of Arkansas for Medical Sciences · 23 hours ago
Senior Clinical Billing Specialist
The University of Arkansas for Medical Sciences (UAMS) is a collaborative healthcare organization focused on improving patient care. They are seeking a Senior Clinical Billing Specialist who will be responsible for investigating account balances, resolving billing issues, and ensuring compliance with HIPAA regulations while providing excellent communication to patients and providers.
EducationHealth CareNon Profit
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
Qualification
Required
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 a Bachelor's 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 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 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
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.
Funding
Current Stage
Late StageTotal Funding
$5.65MKey Investors
National Institute of Allergy and Infectious DiseasesNational Cancer Institute
2023-03-16Grant· $1M
2022-08-25Grant· $3.4M
2022-06-23Grant· $1.25M
Leadership Team
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