The Senior Clinical Billing Specialist is responsible for researching, analyzing, and resolving physician and hospital account issues. This role works directly with patients, providers, insurers, departments, and other staff to resolve complex billing matters, monitor account status, and support accurate billing practices.
The position also reviews reports, recommends improvements to operating procedures and policies, and helps ensure compliance with HIPAA and organizational policies. This is an on-site position.
Requirements & Qualifications
Qualifications
- 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
- Associate's degree in a related field plus 3 years of experience in a healthcare revenue cycle-related function
- High school diploma/GED plus 5 years of experience in a healthcare revenue cycle-related or bookkeeping function
- 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 non-payment issues
- Initiate claim adjustments and resubmit clean claims
- Complete appeals and identify root causes of denials
- Prepare appeal letters and obtain supporting documentation
- Perform cash reconciliation and payment posting
- Assist patients with billing and insurance questions
- Update demographic and insurance information
- Support self-pay collections and payment plans
- Prepare reports, summaries, analyses, and recommendations
- Document encounters and actions in appropriate systems
Benefits & Perks
Benefits and perks
- Medical, dental, and vision coverage
- Holiday, vacation, and sick leave
- Education discount for staff and dependents (undergraduate only)
- Up to 10% matched retirement contribution
- Basic life insurance up to $50,000
- Career training and educational opportunities
- Merchant discounts
- Concierge prescription delivery on the main campus
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago