The Senior Clinical Billing Specialist is responsible for research, analysis, and resolution of physician and hospital accounts. This role works directly with patients, providers, insurers, departments, and other staff to investigate complex account issues, review procedures and regulations, and resolve billing concerns.
Additional responsibilities include monitoring account status, recommending changes to operating procedures and policies, and completing billing activities in compliance with HIPAA and UAMS policies. The position requires strong verbal and written communication skills, attention to detail, and basic mathematical ability.
Requirements & Qualifications
Qualifications
- High school diploma/GED plus 5 years of experience in a healthcare revenue cycle-related or bookkeeping function
- OR associate's degree in a related field plus 3 years of experience in a healthcare revenue cycle-related function
- OR bachelor's degree in a related field plus 1 year of experience in a healthcare revenue cycle-related function, or equivalent combination of education and experience
- Familiarity with Windows environment
- Ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement
- Ability to analyze credit balances
- Preferred: knowledge of EPIC billing system
Key responsibilities
- Investigate account balances and causes for non-payment
- Initiate claim adjustments and resubmit clean claims
- Complete appeals within established timeframes to avoid write-offs
- Identify root causes of denials and develop solutions to prevent future denials
- Compose appeal letters and obtain supporting documentation
- Complete cash reconciliation
- Assist patients with billing, service, and insurance questions
- Verify insurance billing and financial assistance posting
- Update demographic and insurance information and resubmit claims as needed
- Accept payments and post them to account systems
- Assist collection agencies with self-pay collections
- Set up payment plans and complete end-of-day processing
- Prepare records, reports, summaries, analyses, evaluations, and recommendations
- Develop statistical data
- Maintain confidentiality and HIPAA compliance
Benefits & Perks
Benefits and perks
- Medical, dental, and vision plans
- Holiday, vacation, and sick leave
- Education discount for staff and dependents (undergraduate only)
- Retirement with 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
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago