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University of Arkansas for Medical Sciences

Comprehensive healthcare provider delivering specialist services

Associate Clinical Billing Specialist

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

About the Job

Requirements

  • An associate's degree, or a high school diploma or GED plus two years of experience in a healthcare revenue cycle-related or bookkeeping function, is required.
  • Familiarity with Microsoft Windows is required.
  • Ability to accurately read, analyze, and interpret payer contract documents to determine reimbursement and analyze credit balances is required.
  • The role requires basic mathematical skills, above-average communication skills, and exceptional attention to detail.
  • Applicants must have legal authority to work in the United States by their first day of employment.

Responsibilities

  • Work assigned work queues while following related policies and procedures.
  • Complete responsibilities in cash posting, cash control, credit, and data entry/scanning.
  • Post payments and adjustments to patient accounts from multiple sources in a timely and accurate manner.
  • Interpret explanations of benefits and transfer balances to secondary insurance or patient liability.
  • Scan and index supporting documentation for manually posted payments.
  • Research payments and adjustments that result in credit balances or undistributed funds.
  • Balance and track cash and adjustment posting daily, balance summary activity in the patient accounting system, reconcile unapplied cash accounts, and post denial information.
  • Research missing payments with payers or the clearinghouse to ensure all monies are claimed and posted.
  • Review insurance and patient account credits to determine whether refunds are required.
  • Identify credit balance accounts through system reports and online work lists or queues.
  • Receive refund requests, research accounts for potential refunds, and adjust contractual allowances as needed.
  • Collect documentation and analyze whether a refund is appropriate; process refunds in a timely manner.
  • Research patient account history and apply patient overpayments to outstanding patient balances.
  • Attach supporting documentation upon receipt of processed refunds, prepare refunds for distribution, and balance them to the patient accounting and accounts payable systems.
  • Review and resolve undistributed payments.
  • Follow up on unpaid claims, verify patient demographics and insurance information and eligibility, verify non-coding charge information, and update accounts.
  • Maintain working knowledge of payer groups and current billing practices and regulations.
  • Run patient eligibility, verify insurance, and request outside records.
  • Translate payer denial codes to UAMS standard denial codes and enter them on patient accounts.
  • Balance payments and transactions daily; research unidentified cash and post it.
  • Report identified overpayments or refunds during payment posting.
  • Research payments, transfer funds, post adjustments, distribute payments within the patient accounting system, and resolve undistributed payments.
  • Investigate recoupments, interest payments, and miscellaneous payments.
  • Claim payments, complete Records of Deposit, split funds to balance with other departments, and reconcile bank reports, electronic funds transfers, insurance checks, personal payments, and Point of Service payments.
  • Prepare batches for manual payment posting and ensure all money is accounted for and allocated.
  • Research payments and interact with insurance carriers and other agencies.
  • Coordinate workflow and support an effective team environment.
  • Attend training provided by insurance carriers as needed.
  • Perform other duties and responsibilities as needed.

About the Company

University of Arkansas for Medical Sciences

Comprehensive healthcare provider delivering specialist services

UAMS Health is a comprehensive medical provider in Arkansas that offers a wide range of specialty clinics and services, including women’s health, cancer treatment, orthopaedics, stroke care, and trauma. It delivers care through clinics and procedures performed by world-renowned clinicians, using the latest medical treatments and procedures. The model centers on patient- and family-centered care, supported by the University of Arkansas for Medical Sciences’ academic and clinical resources. Services come from consultations, surgeries, and specialized procedures, with additional work in community outreach and health education. The goal is to improve the health and well-being of people in Arkansas by providing high-quality, expert medical care and education.

Company size
Not listed
Company stage
Grant
Total funding
$2.3M
Headquarters
Little Rock, AR
Founded
1879

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