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Intermediate Clinical Billing Specialist
University of Arkansas System. Manage payer rejections in the clearinghouse and claim edits in EPIC .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing payer rejections and ensuring timely claim submissions while maintaining compliance with regulations. Proficient in utilizing EPIC and other billing software to enhance accuracy and efficiency in the healthcare revenue cycle.
Highest-signal resume keywords
EPIC ExperienceMedical Billing ExperienceCPT and ICD 10 Understanding3rd Party Billing RequirementsDetail Oriented
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim ManagementBilling Accuracy ReviewCPT CodingICD 10 CodingHCPCS CodingHealthcare Revenue CycleAccounting SkillsTimely Filing DeadlinesReimbursement CalculationClaim Edits
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationTeam CollaborationProblem SolvingAttention to Detail
Tools & Technologies
EPICBilling SoftwareWindows Environment
Industry Keywords
CMS ComplianceJoint Commission StandardsEMTALAHealthcare RegulationsRevenue Cycle Management
About the role
Key responsibilities & impact- Manage payer rejections in the clearinghouse and claim edits in EPIC
- Ensure claims are submitted to payers within timely filing deadlines with a goal of clean claim submission
- Complete electronic and paper specialized billing while reviewing claims for accuracy
- Review and correct claims that fail billing system edits and document all actions
- Review accounts in EPIC and other systems to avoid duplicate claims and billing
- Contact payers or patients to collect additional billing information
- Report claim billing issues to management
- Answer team members’ questions regarding billing processes and requirements
- Identify billing process improvements and provide recommendations
- Collaborate with management on effective changes and optimal financial outcomes in compliance with regulations
- Attend in-services and review payer, fiscal intermediary, and online information
- Follow up with payers to ensure timely reimbursement
- Participate in compliance and regulatory programs
- Coordinate workflow and work effectively in a team environment
- Comply with CMS, Joint Commission, EMTALA, UAMS, and department policies and procedures
- Complete or assist with special projects
- Participate in regular reviews and use feedback for quality improvement
- Maintain working relationships with patients, families, visitors, physicians, and others
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree in a related field or equivalent combination of education and experience
- Associate’s degree in a related field plus two (2) years of experience in a healthcare revenue cycle related function
- High School diploma/GED plus four (4) years of experience in a healthcare revenue cycle related or bookkeeping function
- Six (6) months of medical billing experience preferred
- Basic understanding of CPT and ICD 10 preferred
- Familiarity with the Windows environment and billing software preferred
- Basic understanding of HCPCS coding preferred
- EPIC experience is a plus
- Understanding of 3rd party billing requirements
- Basic accounting skills
- Ability to utilize a calculator and systems functionality to calculate expected reimbursement from payers
- Detail oriented with strong verbal and written communication skills
- Proof of legal authority to work in the United States on the first day of employment
- Criminal background check and possible drug testing and/or education verification
Benefits
Comp & perks- Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- 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