Senior Clinical Billing Specialist

United States·Little Rocksenior

Finance & AccountingBilling Specialist

0 views0 saves0 applied

Apply Now

Quick Summary

Key Responsibilities

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

Requirements Summary

Bachelor's degree in a related field plus one (1) year of experience in a healthcare revenue cycle-related function,

Technical Tools

Finance & AccountingBilling Specialist

11/11/2026

Clerical

Regular

Day Shift (United States of America)

University of Arkansas for Medical Sciences

Requirements

~1 min read

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 function or bookkeeping function required.
Must be familiar with Microsoft Windows and can accurately read, analyze, and interpret contract documents for all payers to determine reimbursement; analyze credit balance
Knowledge of EPIC billing system preferred.

Applicable equivalencies may be considered on the qualification listed above. 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.

**Position requires 90 days on site training, then assignment to on-site clinic prior to going remote. When remote will be in-office 1-2 x a week.**

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 practice 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.

Responsibilities

~1 min read

→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 established time frames to avoid write-offs.
→Identify root cause of denials and create optimal solutions to prevent future denials; compose appeal letters for accounts denied and obtain necessary documentation.
→Complete cash reconciliation.
→Assist patients with billing, service, and insurance questions; discuss accounts by phone and/or other electronic means to address concerns, verify insurance is properly billed, and financial assistance is posted.
→Update systems with insurance or patient demographic corrections; verify new insurance information with payers; submit/resubmit claims.
→Accept payments and post to the account systems.
→Assist collection agencies to ensure uninterrupted self-pay collections
→Set up payment plans, post payments, and complete end-of-day processing.
→Read, analyze, and interpret contract documents.
→Prepare records, reports, summaries, analyses, evaluations, and recommendations; develop statistical data.
→Assist other departments regarding insurance policies, collection processes, and billing.
→Document encounters and actions in appropriate systems.
→Demonstrate integrity, innovative thinking, and make an active contribution to the success of the organization.
→Comply with policies and procedures, confidentiality, and HIPAA policies and requirements.
→Perform other duties as assigned.