Senior Clinical Billing Specialist

University of Arkansas at Little Rock; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a Senior Clinical Billing Specialist to manage complex billing accounts and improve revenue cycle processes. This role requires expertise in healthcare billing, excellent communication skills, and a detail-oriented approach to ensure compliance with regulations. You will collaborate with patients, providers, and insurers to resolve billing issues while maintaining confidentiality under HIPAA. Join a dynamic team dedicated to enhancing patient care and operational efficiency in a supportive work environment that values teamwork and innovation.

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

• 5+ years experience in healthcare revenue cycle or bookkeeping.
• Familiar with EPIC billing system and Windows environment.

Responsibilities

• Research and resolve physician and hospital accounts.
• Monitor account statuses and recommend changes in procedures.
• Assist patients with billing and insurance questions.

Skills

Healthcare Revenue Cycle Management

Bookkeeping

Communication Skills

Detail Orientation

Mathematical Skills

Education

High School diploma/GED

Associate’s degree in related field

Bachelor’s in related field

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).

Closing Date: 04/24/2025

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

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 the Apply 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 preference, or pregnancy. Federal law prohibits the University from discriminating on these bases.

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 Self Pay

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.

Qualifications:

Minimum Qualification:

• High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function
• OR Associate’s degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function
• OR a Bachelor’s in a related field plus one (1) year of experience in a healthcare revenue cycle related function or equivalent combination of education and experience.
• 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 to advise refund department.
• Knowledge of EPIC billing system.

Additional Information:

• The position follows all UAMS policies and must demonstrate excellent verbal and written communication skills. Must be detail oriented and possess basic mathematical skills.
• Investigate account balances and cause for non-payment, initiating claim adjustments, and re-submitting a clean claim to the payer or billing to patient.
• Complete appeals within the time frame established by management to avoid write off for untimely appeal processing.
• Identify root cause of denial and create optimal solutions to prevent future denials. Write appeal letters for accounts denied, obtain necessary documentation, and attach same with letter of appeal.
• Complete all cash reconciliation, including electronic remittances: insurance and agencies, reconciliation.
• Assist patients with billing, service and insurance questions on the phone, via mail, or in person.
• Update systems with insurance or patient demographic corrections; verify new insurance information with payer; submit/resubmit claims as indicated.
• Accept patient payments over the phone and post payments to the Patient Accounting system according to department guidelines; generate receipts as appropriate.
• Assist all collection agencies with requests when appropriate to ensure no interruption to the self-pay collection.
• Discuss accounts with patient by phone, in person, in MyChart, email (or other electronic communication) or fax to respond to concerns and answer questions verifying all insurance has been billed properly and financial assistance posted.
• Set payment plans, post payments manual and virtual in cash drawer, complete end of day processing following cash handling procedures.
• Accurately read, analyze and interpret contract documents for all payers to determine reimbursement.
• Maintain awareness of new and emerging trends in clinical, coding, or contract errors and report issues to management.
• Stay current with latest developments, advancements and trends in the Revenue Cycle field.
• Prepare clear, complete and concise records, reports, summaries, analysis, evaluations and recommendations.
• Develop statistical data for management to assess and determine issues that impact revenue recognition.
• Assist departments within the hospital with questions about insurance policies, collection processes or other billing issues.
• Document all encounters and actions taken in all appropriate UAMS systems including EPIC, Base-Recover and/or DOMS to ensure all actions are understood by others.
• 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, Join Commission EMTALA and OSHA.
• Demonstrate a high level of integrity and innovative thinking; actively contribute to the success of the organization.
• 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.
• Comply with UAMS and CCBO policy and procedure.
• Comply with UAMS Confidentiality and HIPAA policies.

Salary Information: Commensurate with education and experience

Required Documents to Apply: List of three Professional References (name, email, business title), Resume

Optional Documents: Proof of Veteran Status

Special Instructions to Applicants:

Recruitment Contact Information:

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:

Hearing, Manipulate items with fingers, including keyboarding, Sitting, Talking

Frequent Physical Activity:

Feeling, Grasping, Standing, Walking

Occasional Physical Activity:

Balancing, Crouching, Pulling, Pushing, Reaching, Stooping

Benefits Eligible:

Yes

About the company

The University of Arkansas at Little Rock is a public research university in Little Rock, Arkansas.