U

University of Arkansas

Public research university in Arkansas

Senior Clinical Billing Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeLittle Rock, AR, USANo salary listedRemote

About the Job

Requirements

  • A bachelor's degree in a related field plus one year of experience in a healthcare revenue cycle-related function, or an associate's degree in a related field plus three years of experience in a healthcare revenue cycle-related function, or a high school diploma/GED plus five years of experience in a healthcare revenue cycle-related or bookkeeping function.
  • Familiarity with the Windows environment and the ability to accurately read, analyze, and interpret payer contract documents to determine reimbursement and analyze credit balances.
  • Knowledge of HIPAA regulations, including patient confidentiality.
  • Strong verbal and written communication skills, attention to detail, and basic mathematical skills.

Responsibilities

  • Research, analyze, and resolve physician and hospital accounts, working with patients, providers, insurers, departments, and other staff.
  • Review reports and monitor account status; recommend changes to operating procedures and policies; organize efficient methods for completing billing activities.
  • Investigate account balances and reasons for non-payment, initiate claim adjustments, and resubmit clean claims to payers or bill patients.
  • Complete appeals within established time frames to avoid write-offs.
  • Identify root causes of denials, develop solutions to prevent future denials, compose appeal letters, and obtain necessary documentation.
  • Complete cash reconciliation.
  • Assist patients with billing, service, and insurance questions by phone or electronic means; address concerns and verify insurance billing and financial assistance postings.
  • Update systems with insurance or patient demographic corrections, verify new insurance information with payers, and submit or resubmit claims.
  • Accept payments and post them to account systems.
  • Assist collection agencies in maintaining 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, and develop statistical data.
  • Assist other departments with insurance policies, collection processes, and billing.
  • Document encounters and actions in appropriate systems.
  • Comply with organizational policies and procedures, confidentiality rules, and HIPAA requirements.
  • Perform other duties as assigned.

Desired Qualifications

  • Knowledge of the EPIC billing system.

About the Company

University of Arkansas

Public research university in Arkansas

University of Arkansas is a public land-grant research university in Fayetteville, Arkansas. It provides undergraduate and graduate education, conducts research, and supports public-service and extension activity. Academic colleges, laboratories, student services, facilities, and administrative units make up the campus operating environment. Faculty, research, student-support, technical, trades, and professional roles support the institution. The profile is campus-specific while recognizing that the University of Arkansas System uses a shared official careers platform.

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