Intermediate Clinical Billing Specialist

Summary of Job Duties

The Intermediate Clinical Billing Specialist is responsible for timely and accurate management of payer rejections in the clearinghouse, claim edits in EPIC, and ensuring claims go out to the payer within timely filing deadlines with a goal of clean claim submission. This position must understand 3rd party billing requirements; analyze patient account balances and various payer contract terms, have basic accounting skills and be able to utilize a calculator and systems functionality to calculate expected reimbursement from payers. The Intermediate Clinical Billing Specialist must be detail oriented and demonstrate strong verbal and written communication skills.

Qualifications

• Bachelor's degree in a related field or equivalent combination of education and experience.
• Associate's degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function.
• High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function.
• Prior six (6) months of medical billing experience preferred with a basic understanding of CPT and ICD 10, and familiarity with the Windows environment and billing software; Basic understanding of HCPCS coding; EPIC experience is also a plus.

Additional Information

KEY RESPONSIBILITIES:

• Complete electronic and paper specialized billing while reviewing claims for accuracy.
• Review and correct claims that fail the billing system edits and document all actions.
• Review accounts in EPIC and other systems to avoid duplicate claims and billing.
• Contact payers or patients to collect additional information required to bill the account.
• Report claim billing issues to management.
• Answer questions and provide information to team members regarding the billing process and requirements.
• Identify improvements to billing processes and provide recommendations; collaborate with management on effective changes, achieving optimal financial outcomes, in compliance with regulations.
• Attend in-services, review online information, and review information from payers and fiscal intermediaries.
• Follow up with payers to ensure timely reimbursement.
• Participate in compliance and regulatory programs.
• Work effectively in a team environment, coordinate workflow, and ensure a productive and efficient environment.
• Comply with safety principles, laws, regulations and standards including CMS, Joint Commission, and EMTALA.
• Comply with UAMS and Centralized Business Office Department related policies and procedures.
• Demonstrate time management skills, integrity and innovative thinking.
• Complete or assist on special projects.
• Participate in regular reviews and utilize feedback for continued quality improvement.
• Maintain good working relationship with patients and families, visitors, physician and others.
• Perform other duties as assigned.

Salary Information

Commensurate with education and experience

Required Documents to Apply

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

Optional Documents

• Proof of Veteran Status

Special Instructions to Applicants

To apply for the position, please click the Apply link/button. 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. Recruitment Contact Information: Please contact askrecruitment@uams.edu for any recruiting related questions.

Pre-employment Screening Requirements

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

• Frequent Physical Activity: Reaching, Repetitive Motion, Sitting
• Occasional Physical Activity: Crouching, Pulling, Pushing

Frequent Physical Activity

• Frequent Physical Activity: Reaching, Standing, Talking, Walking

Benefits Eligible

Yes