Intermediate Clinical Billing Specialist

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Closing Date: 04/30/2025 Type of Position: 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. 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 askrecruitment@uams.edu. Department: FIN | CORE CCBO Medicaid Department's Website: 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 Qualifications: High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function. OR Associate’s degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function OR a Bachelor’s in a related field or equivalent combination of education and experience. Preferred Qualifications: Bachelor’s, 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 CPT, ICD-10, and HCPCS coding. EPIC experience is a plus. Additional Information: Additional Information: 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 document 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. Salary Information: Commensurate with education and experience Required Documents to Apply: List of three Professional References (name, email, business title), Resume Optional Documents: Letters of Recommendation, Proof of Veteran Status Special Instructions to Applicants: Recruitment Contact Information: 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. 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, Repetitive Motion, Talking Frequent Physical Activity: Balancing, Crouching, Feeling, Lifting Occasional Physical Activity: Grasping, Kneeling, Pulling, Pushing, Reaching, Stooping, Walking Benefits Eligible: Yes At the University of Arkansas for Medical Sciences (UAMS), we are looking for health care and non-health care professionals who believe in excellence as a way of life. If you think you have the skills and commitment to succeed at the highest level, consider a career at UAMS, the state’s only academic health sciences center. Combining diverse talents and expertise, our employees work together to provide advanced patient care. We currently have a wide variety of positions available, from patient care to support staff- we may have the perfect position for you. UAMS is Arkansas’ only comprehensive academic health sciences center. We educate and train the vast majority of the state’s physicians and prepare doctors, scientists, nurses, pharmacists and health professionals through innovation, compassion, teamwork and patient- and family-centered care so they can impact the world. UAMS rewards its nurses! Statewide opportunities are available in direct patient care, education, and research settings. We offer Bonus Programs, Hotel Lodging, New Graduate RN Residency and support for Clinical Ladder, National Certification, Shared Governance, and Recognition Programs to name a few. Go to nurses.uams.edu for more details. The University of Arkansas for Medical Sciences (UAMS) is committed to providing a safe and secure environment for students, faculty, staff, visitors, and prospective employees. The below report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act) and the Higher Education Opportunity Act (HEOA). The report will provide you with information on campus safety and security including information on various policies and procedures for reporting crime, safety and security prevention and protection programs, victim assistance services, fire safety, and other materials to assist you in maintaining your safety and security. www.uams.edu/police.

Salary : $50,000