Senior Clinical Billing Specialist

Closing Date:

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.

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.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department's Website:

Minimum Qualification:

• High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function
• OR Associate's degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function
• OR a Bachelor's 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 to advise refund department.
• Knowledge of EPIC billing system.

Additional Information:

• The position follows all UAMS policies and must demonstrate excellent verbal and written communication skills. Must be detail oriented and possess basic mathematical skills.
• 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 the time frame established by management to avoid write off for untimely appeal processing.
• Identify root cause of denial and create optimal solutions to prevent future denials. Write appeal letters for accounts denied, obtain necessary documentation, and attach same with letter of appeal.
• Complete all cash reconciliation, including electronic remittances: insurance and agencies, reconciliation.
• Assist patients with billing, service and insurance questions on the phone, via mail, or in person
• Update systems with insurance or patient demographic corrections; verify new insurance information with payer; submit/resubmit claims as indicated.
• Accept patient payments over the phone and post payments to the Patient Accounting system according to department guidelines; generate receipts as appropriate.
• Assist all collection agencies with requests when appropriate to ensure no interruption to the self-pay collection.
• Discuss accounts with patient by phone, in person, in MyChart, email (or other electronic communication) or fax to respond to concerns and answer questions verifying all insurance has been billed properly and financial assistance posted.
• Set payment plans, post payments manual and virtual in cash drawer, complete end of day processing following cash handling procedures.
• Accurately read, analyze and interpret contract documents for all payers to determine reimbursement.
• Maintain awareness of new and emerging trends in clinical, coding, or contract errors and report issues to management.
• Stay current with latest developments, advancements and trends in the Revenue Cycle field
• Prepare clear, complete and concise records, reports, summaries, analysis, evaluations and recommendations.
• Develop statistical data for management to assess and determine issues that impact revenue recognition.
• Assist departments within the hospital with questions about insurance policies, collection processes or other billing issues.
• Document all encounters and actions taken in all appropriate UAMS systems including EPIC, Base-Recover and/or DOMS to ensure all actions are understood by others.
• 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, Join Commission EMTALA and OSHA.
• Demonstrate a high level of integrity and innovative thinking; actively contribute to the success of the organization.
• 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.
• Comply with UAMS and CCBO policy and procedure.
• Comply with UAMS Confidentiality and HIPAA policies.

Salary Information:

Required Documents to Apply:

Please contact askrecruitment@uams.edufor any recruiting relatedquestions.

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

Please do not send to listed recruitment contact.

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.