Senior Clinical Billing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Investigate account balances and the reasons for non-payment, initiating claim adjustments and re-submitting a clean claim to the payer or billing the patient.

• Complete appeals within the designated time frame to prevent write-offs.

• Identify the root causes of denials and formulate effective solutions to mitigate future occurrences; draft appeal letters for denied accounts and gather the necessary documentation.

• Conduct cash reconciliation.

• Assist patients with queries related to billing, service, and insurance; communicate about accounts via phone and/or other electronic methods to resolve concerns, ensuring insurance is accurately billed and financial assistance is applied.

• Update systems with corrections to insurance or patient demographics; verify new insurance information with payers and submit/resubmit claims.

• Accept payments and post them to the account systems.

• Collaborate with collection agencies to ensure seamless self-pay collections.

• Establish payment plans, record payments, and complete end-of-day processing.

• Read, analyze, and interpret contract documents.

• Prepare records, reports, summaries, analyses, evaluations, and recommendations; develop statistical data.

• Provide support to other departments regarding insurance policies, collection processes, and billing.

• Document encounters and actions in the appropriate systems.

• Demonstrate integrity, innovative thinking, and contribute actively to the organization’s success.

• Adhere to policies and procedures, confidentiality, and HIPAA regulations.

• Perform additional duties as assigned.

⛳️ Requirements

• A minimum of a Bachelor's degree in a related field combined with one (1) year of experience in a healthcare revenue cycle-related role, OR an Associate’s degree in a related field with three (3) years of experience in a healthcare revenue cycle function, OR a High School diploma/GED with five (5) years of experience in a healthcare revenue cycle-related or bookkeeping function.

• Must be proficient with a Windows environment and possess the ability to accurately read, analyze, and interpret contract documents from all payers to ascertain reimbursement; able to analyze credit balances.

• Preferred knowledge of the EPIC billing system.

🏝️ Benefits

• Health: Medical, Dental, and Vision plans available for eligible staff and their families.

• Holiday, Vacation, and Sick Leave.

• Educational discount for staff and dependents (undergraduate only).

• Retirement: Up to a 10% matched contribution from UAMS.

• Basic Life Insurance coverage up to $50,000.

• Career training and educational opportunities.

• Merchant discounts.

• Concierge prescription delivery on the main campus when utilizing UAMS pharmacy.