Summary

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. This is an On-Site position.

Job description

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. This is an On-Site position.

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

Requirements

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
Six (6) months of medical billing experience preferred
Basic understanding of CPT and ICD-10
Familiarity with the Windows environment and billing software
Basic understanding of HCPCS coding
EPIC experience is a plus

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Holiday Leave
Vacation Leave
Sick Leave
Education Discount
Retirement Plan With Matching Contributions
Basic Life Insurance
Career Training
Educational Opportunities
Merchant Discounts
Prescription Delivery

Company overview

The University of Arkansas for Medical Sciences (UAMS) is Arkansas' only comprehensive academic health sciences university and the state's largest public employer. Founded in 1879 by eight physicians, UAMS has evolved into a statewide health system encompassing six colleges: Medicine, Pharmacy, Nursing, Health Professions, Public Health, and Graduate School. As a premier academic medical center, UAMS combines education, research, and clinical care through its UAMS Medical Center, which serves as Arkansas' only adult Level 1 trauma center and the state's sole provider of adult kidney, liver, and pancreas transplants. The institution operates with a $1.3 billion budget and generates over $100 million in annual research funding, maintaining internationally recognized programs in multiple myeloma, aging, and other specialized areas. UAMS supports over 3,000 students, 900 medical residents and fellows, and maintains affiliations with Arkansas Children's Hospital and the Central Arkansas Veterans Healthcare System. With eight regional campuses across Arkansas, UAMS provides extensive community outreach and telehealth services, ensuring healthcare access throughout the state while contributing approximately $3.92 billion annually to Arkansas' economy.