UAMS - University of Arkansas for Medical Sciences · 16 hours ago
Senior Clinical Billing Specialist
The University of Arkansas for Medical Sciences (UAMS) is a collaborative health care organization focused on improving patient care. The Senior Clinical Billing Specialist is responsible for research, analysis, and resolution of physician and hospital accounts, working directly with various stakeholders to ensure accurate billing and compliance with regulations.
EducationHealth CareNon Profit
Responsibilities
Investigate account balances and cause for non-payment, initiate claim adjustments, and resubmit a clean claim to the payer or billing to the patient
Complete appeals within the established time frame to avoid write-offs
Identify the 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 ensure financial assistance is 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 departments 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
Bachelor's degree in a related field plus one (1) year of experience in a healthcare revenue cycle-related function
Associate's degree in a related field plus three (3) years of experience in a healthcare revenue cycle-related function
High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle-related or bookkeeping function required
Must be familiar with Microsoft Windows
Ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement; analyze credit balance
Knowledge of the EPIC billing system preferred
Demonstrate excellent verbal and written communication skills
Must be detail-oriented and possess basic mathematical skills
Preferred
Knowledge of the EPIC billing system preferred
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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