Associate Clinical Billing Specialist

• Associate’s degree in a related field, or
• High School diploma/GED plus two (2) years of experience in a healthcare revenue cycle-related or bookkeeping function required.

Bachelor’s degree is preferred.

Responsibilities:

• Identify credit balance accounts through system reports and online work lists/work queues
• Receive requests for refunds; research accounts for potential refund and adjust contractual allowances as needed.
• Collect documentation and complete analysis to determine whether a refund is appropriate; process refunds timely.
• Research patient’s account history and apply patient overpayment to any outstanding patient balance(s).
• Attach supporting documentation upon receipt of processed refunds, prepare for distribution, and balance to the patient accounting system and the accounts payable system.
• Review and resolve undistributed payments.
• Follow up on unpaid claims; verify patient demographics, insurance information/eligibility, non-coding charge information, and update accounts.
• Maintain working knowledge of payer groups and most current billing practices and regulations.
• Run eligibility on patients, verify insurance, and request outside records.
• Post payments and adjustments to accounts in the patient accounting system.
• Interpret EOBs and transfer remaining patient and secondary insurance liability to appropriate accounts.
• Translate payor denial codes to UAMS standard denial codes and enter on patient account.
• Balance all payments and transactions on a daily basis; research unidentified cash and post.
• Report overpayments or refunds when identified during the payment posting process.
• Resolve undistributed payments; research payments, transfer funds, and post adjustments.
• Distribute payments within the patient accounting system and research payments received.
• Investigate recoupments, interest payments, and miscellaneous payments.
• Claim payments, complete Records of Deposit, and split funds to balance with other departments, reconciling bank reports, EFTs, 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.
• Work effectively in a team environment, coordinating workflow and supporting a productive and efficient environment.
• Demonstrate integrity and critical thinking skills and actively contribute to the success of the organization.
• Attend insurance carrier–provided training as needed.
• Perform other duties and responsibilities as needed.

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. 

• Must be familiar with Microsoft Windows with the ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement.
• Analyze credit balance.

Please contact askrecruitment@uams.edu 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.