Intermediate Clinical Billing Specialist

University of Arkansas; Little Rock (AR); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking an Intermediate Clinical Billing Specialist to join their dynamic team. This role offers the opportunity to work remotely while ensuring accurate management of billing processes. You'll be responsible for handling payer rejections, analyzing patient accounts, and collaborating with various departments to enhance billing efficiency. The ideal candidate will possess strong communication skills and attention to detail, with a background in medical billing and knowledge of coding systems. Join a collaborative organization dedicated to improving patient care and enjoy a range of benefits that support your professional growth and well-being.

Benefits

Medical, Dental and Vision plans

Holiday, Vacation and Sick Leave

Education discount for staff and dependents

Retirement matching contribution

Basic Life Insurance

Career Training and Educational Opportunities

Merchant Discounts

Concierge prescription delivery

Qualifications

• Experience in healthcare revenue cycle management is essential.
• Familiarity with CPT and ICD-10 coding is preferred.

Responsibilities

• Manage payer rejections and ensure timely claim submissions.
• Review and correct claims for accuracy and compliance.
• Collaborate with management to improve billing processes.

Skills

Medical Billing

Communication Skills

Detail Oriented

Basic Accounting Skills

Education

Bachelor’s degree in a related field

Associate’s degree in a related field plus two years of experience

High School diploma/GED plus four years of experience

Tools

EPIC

Windows Environment

Billing Software

Job description

Intermediate Clinical Billing Specialist page is loaded

Intermediate Clinical Billing Specialist

Apply remote type Remote work is an option locations Little Rock time type Full time posted on Posted Yesterday time left to apply End Date: May 31, 2025 (30+ days left to apply) job requisition id R0070447

Closing Date: 05/31/2025

Type of Position:

Staff - Clerical

Job Type:

Regular

Work Shift:

Sponsorship Available: No

Institution Name:

University of Arkansas for Medical Sciences

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

Department: FIN | CORE CCBO HB Cash Control

Summary of Job Duties:

Under limited supervision, 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.

Following on site training, minimum on-campus schedule of one day each week, subject to change.

Qualifications:

Minimum:

• Bachelor’s degree in a related field OR associate’s degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function OR High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function.

Preferred:

• 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.

Responsibilities:

• Complete electronic and paper specialized billing while reviewing claims for accuracy on all accounts assigned.
• Review and correct all claims that fail the billing system edits daily to ensure accurate and timely submission on accounts.
• Document all actions that are taken on accounts in the system account notes to ensure all prior actions are noted.
• Submit all corrected claims within time frames assigned by management or documents reasons for delays in EPIC.
• Complete review of claims in Change Health and notes in EPIC to delete duplicate claims from Change Health.
• When updating coverage, review accounts in EPIC and Change Health to make sure a claim is Demanded in EPIC to avoid duplicate billing.
• Contact the payer or patient when additional information is required to bill the account.
• Immediately report all new claim billing issues to management to coordinate with other departments and the electronic billing vendors to resolve barriers.
• Answer questions and provide appropriate information to fellow team members regarding the billing process and requirements. When unsure of a process, follow up with Management on questions/concerns.
• Identify ways to improve billing processes and provides recommendations for new or revised procedures. Collaborate with management on effective changes related to billing, achieving optimal financial outcomes, and compliance with regulations.
• Stay abreast of the latest developments, advancements, and trends in the field of medical billing by attending in-services, reviewing online information, and reading information from payers and fiscal intermediaries.
• Follow up with payers to ensure timely reimbursement.
• Work well with other departments to ensure accounts are worked appropriately and timely.
• 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, Joint Commission, EMTALA, and OSHA.
• Demonstrate a high level of integrity and innovative thinking and actively contributes to the success of the organization.
• Complete all required reports accurately and timely.
• 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.
• Adhere to UAMS and Centralized Business Office Department-related policies and procedures.
• Adhere to UAMS confidentiality and HIPAA policies.
• Participate in regular review and utilize feedback for continued quality improvement.
• Maintain good working relationships with patients and families, visitors, physicians and other employees; fellows hospital guest relations guidelines and “Circle of Excellence” criteria.
• Performs 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:

Special Instructions to Applicants:

Please contact [e-mail] for any recruiting related questions.

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.

Pre-employment Screening Requirements:

Criminal Background Check

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:

Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking

Frequent Physical Activity:

Pulling, Pushing, Standing, Walking

Occasional Physical Activity:

Lifting

Benefits Eligible:

Yes