Senior Clinical Billing Specialist

University of Arkansas for Medical Science; Little Rock (AR); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player is seeking a Senior Clinical Billing Specialist who will play a pivotal role in managing physician and hospital accounts. This dynamic position involves analyzing complex billing issues, ensuring compliance with HIPAA regulations, and collaborating with various departments to optimize billing processes. The ideal candidate will possess strong analytical and communication skills, with a keen attention to detail. Join a team that champions diversity and teamwork, and contribute to improving patient care in the community. This role offers ample opportunities for career training and educational advancement, making it an exciting opportunity for growth.

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 Opportunities

Merchant Discounts

Concierge Prescription Delivery

Qualifications

• Bachelor's degree plus 1 year experience in healthcare revenue cycle.
• Familiar with Windows environment and contract document analysis.

Responsibilities

• Complete electronic and paper billing while ensuring accuracy.
• Review and correct claims that fail billing system edits.
• Document actions taken on accounts for accurate record-keeping.

Skills

Healthcare Revenue Cycle Management

HIPAA Compliance

Analytical Skills

Communication Skills

Detail Orientation

Education

Bachelor's Degree in Related Field

Associate's Degree in Related Field

High School Diploma/GED

Tools

EPIC Billing System

Windows Environment

Job description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for "Find Jobs for Students". All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.

Closing Date:

05/31/2025Type of Position:Staff - ClericalJob Type:Regular

Work Shift:

Sponsorship Available:

NoInstitution 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

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click theApply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

For general application assistance or if you have questions about a job posting, please contact Human Resources at [e-mail].

Department:FIN | CORE CCBO Commercial

Department's Website:

Summary of Job Duties:The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible for research, analysis and resolution of physician and hospital accounts. This position works directly with patients, providers, insurers, departments, and other staff in researching complex accounts, analyzing various information, and reviewing procedures and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts, recommend changes in operating procedures and policies, and organize best methods to complete billing activities. The position is knowledgeable of HIPAA regulations including patient confidentiality and always remains compliant. The position follows all UAMS policies and must demonstrate excellent verbal and written communication skills. Must be detail oriented and possess basic mathematical 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 plus one (1) year of experience in a healthcare revenue cycle related function OR associate's degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function OR High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function.
• Must be familiar with Windows environment with the ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement; analyze credit balance.

Preferred

• Knowledge of EPIC billing system.

Additional Information:

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:

Recruitment Contact Information:

Please contact [e-mail] any recruiting relatedquestions.

All application materials must be uploaded to the University of Arkansas System Career Sitehttps://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, Pushing, Sitting, TalkingFrequent Physical Activity:Pulling, Pushing, Reaching, Standing, WalkingOccasional Physical Activity:Crouching, Kneeling, LiftingBenefits Eligible:Yes