Associate Clinical Billing Specialist

Updated: about 5 hours ago
Location: Little Rock, ARKANSAS
Job Type: FullTime

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Closing Date:

05/17/2024

Type of Position:

Staff - Clerical

Job Type:

Regular

Work Shift:

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
  • 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

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. 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.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected] .



Department:

FIN | CORE CCBO HB Cash Control


Department's Website:



Summary of Job Duties:

This position is responsible for working assigned work queues while following related policies and procedures. Under general supervision, The Associate Clinical Billing Specialist will complete responsibilities in Cash Posting, Cash Control, Credit, and Data Entry/Scanning. The Associate Clinical Billing Specialist is responsible for timely and accurate posting of payments and adjustments to all patient accounts from multiple sources; will interpret the explanation of benefits (EOB) and balance transfer money to the secondary insurance or patient liability; scan and index all supporting documentation for manually posted payments; perform in depth research on payments and/or adjustments resulting in a credit balance or undistributed funds.

Qualifications:

Minimum Qualifications:

High School diploma/GED plus 2 years of experience in a healthcare revenue cycle-related function or an equivalent combination or education and experience.

Preferred Qualifications:

Bachelor’s degree OR High School diploma plus 4 years equivalent combination of education and experience in a healthcare revenue cycle related function.


Additional Information:

Responsibilities:

•    Identify all credit balance accounts through system reports and online work lists/work queues
•    Receive request for refunds from patient, internal departmental request or third party 
 correspondence.
•    Research all accounts for appropriateness of refund.  Adjust contractual allowances as needed.
•    Collect documentation to understand overpayment or incorrect payment.              
•    Determine if a refund is appropriate based on in-depth analysis of patient accounts.         
•    Research patient account history and apply overpayment to any outstanding balance.
•    Process refund requests as appropriate and document in patient accounts.              
•    Compile and provide additional supporting refund documentation as requested.          
•    Ensure all refund requests are processed in an efficient and timely manner.          
•    Attach supporting documentation on a weekly basis upon receipt of processed refund checks and prepare for mailing.  
•    Ensure processed refunds balance between the patient accounting system and the accounts payable system.          
•    Record refund balanced figures on the Refund Balancing document weekly.              
•    Report to management trends that presents themselves during the course of daily activities.      
•    Review and resolve undistributed payments.  
•    Utilize Epic work queues to follow up on unpaid claims filed to specific payers, agencies, or grants due to no response or specific denials or rejections
•    Follow-up includes, but is not limited to, verifying patient demographic and insurance Information/eligibility and updating the account based on findings, reviewing charts for accuracy of non-coding charge information
•    Maintain working knowledge of specific payer group to which position is assigned. Access manuals, websites and contact Customer Service at each carrier site to obtain and verify most current billing practices and regulations.
•    May prepare reports as requested.  
•    Conduct insurance verification and benefits explanation by running eligibility on patients, requests outside records, and gathers outside medical records
•    Accurately post payments and adjustments to accounts in the patient accounting system on a daily basis.
•    Interpret EOB and transfers remaining patient and secondary insurance liability to the appropriate bucket.
•    Translate payor denial codes on EOB to UAMS standard denial codes and enters appropriate code on patient account.
•    Balance all payments and transactions on a daily basis.
•    Investigate unidentified cash and post or refer to management for resolution.     
•    Report overpayments or refunds as necessary when identified during the payment posting process.    
•    Work to resolve undistributed payments.  Research payments, transfer funds and post adjustments as appropriate.  
•    Distribute payments, as appropriate, to other entities within the patient accounting system during the payment posting process; and researches payments received for which there is, no corresponding charge.  
•    Investigate recoupments, interest payments and miscellaneous payments directed to specific clearing accounts requiring research.
•    Claim payments, complete Records of Deposit and split funds for the purpose of balancing with other departments. Balancing includes but is not limited to reconciling bank reports, EFTs, insurance checks, personal payments, and Point of Service payments. Claim EFTs or deposit checks to release loaded electronic remits.
•    Prepare batches for manual payment posting and assists in compiling data for the Finance department to ensure all money is counted for and allocated appropriately.
•    Research payments by contacting insurance carriers and other agencies to determine which department should claim 
payments.
•    Work well with other departments to ensure accounts are worked appropriately and timely.
•    Participate in compliance and regulatory programs.                     
•    Work effectively in a team environment, coordinating workflow with other team members and ensuring a productive 
and efficient environment.                      
•    Comply with safety principles, laws, regulations, and standards associated with, but not limited to CMS, Joint Commission, EMTALA, and OSHA.                 
•    Demonstrate a high level of integrity and innovative thinking and actively contributes to the success of the 
organization.     
•    Complete all required reports accurately and timely.     
•    Demonstrate positive working relationships with co-workers, management team, and ancillary departments.
•    Assume responsibility for completing or assisting on special projects as assigned by the manager.
•    Assist with other patient billing information and activities.  Maintain current information on department policies and procedures, and attend insurance carrier –provided training as needed and 
•    Perform other duties as assigned


Salary Information:

Commensurate with education and experience


Required Documents to Apply:

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


Optional Documents:



Special Instructions to Applicants:


Recruitment Contact Information:


Please contact [email protected]  for any recruiting related questions.


All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.



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:

Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Stooping, Talking, Walking

Frequent Physical Activity:

Manipulate items with fingers, including keyboarding, Sitting, Talking

Occasional Physical Activity:

Standing, Walking

Benefits Eligible:

Yes