Senior Clinical Billing Specialist

Role Overview

• 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

Requirements

• 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 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
• Preferred: Knowledge of EPIC billing system

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