Senior Clinical Billing Specialist

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Type of Position:
Clerical

Job Type:
Regular

Work Shift:
Day Shift (United States of America)

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.
The safety of our team members at the University of Arkansas for Medical Sciences is our top priority. For this reason, successful applicants for this position must be fully vaccinated against Covid-19 or have an approved medical or religious exemption on file with our Student & Employee Health Services dept. UAMS will adhere to all federal, state and local regulations and will obtain necessary proof of vaccination prior to employment to ensure compliance.
 

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.

UAMS is an Affirmative Action and Equal Opportunity Employer  of individuals with disabilities and protected veterans and is committed to excellence.  If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (501) 686-6432 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

At UAMS we value Diversity, Equity and Inclusion. Visit our website to learn more: https://ddei.uams.edu/

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

Department:
FIN | CORE CCBO Commercial

Department's Website:

Summary of Job Duties:
The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible for research, analysis and resolution of physician and hospital accounts. This position works directly with patients, providers, insurers, departments, and other staff in researching complex accounts, analyzing various information, and reviewing procedures and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts, recommend changes in operating procedures and policies, and practice best methods to complete billing activities. The position is knowledgeable of HIPAA regulations including patient confidentiality and always remains compliant. The position follows all UAMS policies and must demonstrate excellent verbal and written communication skills. Must be detail oriented and possess basic mathematical skills.

Qualifications:

• High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function.

OR

• Associates' degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function.

OR

• Bachelor's degree 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.

KEY 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

Additional Information:

Salary Information:

$38,480.00

Required Documents to Apply:

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

Optional Documents:

Cover Letter/Letter of Application, Letters of Recommendation, Proof of Veteran Status

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:
Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, Talking

Frequent Physical Activity:
Pulling, Pushing, Reaching, Walking

Occasional Physical Activity:
Crouching, Lifting, Standing

Benefits Eligible:
Yes