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Senior Clinical Billing Specialist
University of Arkansas System. Research, analyze, and resolve physician and hospital accounts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, including account analysis, claims processing, and compliance with HIPAA policies. Proficient in utilizing billing systems and effectively communicating with patients and providers.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementClaims ProcessingEPIC Billing SystemContract Document AnalysisCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Account AnalysisClaims AdjustmentCash ReconciliationBilling ProceduresStatistical Data PreparationInsurance VerificationPayment PostingDenial Root Cause AnalysisFinancial Assistance PostingMathematical Skills
Soft Skills
Detail OrientedVerbal CommunicationWritten Communication
Tools & Technologies
Windows EnvironmentEPIC Billing System
Industry Keywords
HIPAA ComplianceHealthcare BillingRevenue CyclePayer ContractsSelf-Pay Collections
About the role
Key responsibilities & impact- Research, analyze, and resolve physician and hospital accounts
- Work with patients, providers, insurers, departments, and other staff to research complex accounts
- Review reports and monitor account status
- Recommend changes to operating procedures and policies
- Investigate account balances and causes of non-payment
- Initiate claim adjustments and resubmit clean claims to payers or bill patients
- Complete appeals within established time frames and compose appeal letters
- Identify denial root causes and develop solutions to prevent future denials
- Complete cash reconciliation
- Assist patients with billing, service, and insurance questions
- Verify insurance billing and financial assistance postings
- Update insurance and patient demographic information; verify insurance with payers; submit and resubmit claims
- Accept and post payments
- Assist collection agencies with self-pay collections
- Set up payment plans and complete end-of-day processing
- Read, analyze, and interpret payer contract documents
- Prepare records, reports, summaries, analyses, evaluations, recommendations, and statistical data
- Provide departmental assistance regarding insurance policies, collection processes, and billing
- Document encounters and actions in appropriate systems
- Comply with UAMS policies, confidentiality requirements, and HIPAA policies
- Perform other duties as assigned
Requirements
What you’ll need- High School diploma/GED plus five (5) years of experience in a healthcare revenue cycle related or bookkeeping function OR Associate’s degree in a related field plus three (3) years of experience in a healthcare revenue cycle related function OR Bachelor’s in a related field plus one (1) year of experience in a healthcare revenue cycle related function or equivalent combination of education and experience
- Familiarity with Windows environment
- Ability to accurately read, analyze, and interpret contract documents for all payers to determine reimbursement
- Ability to analyze credit balance
- Knowledge of EPIC billing system preferred
- Excellent verbal and written communication skills
- Detail oriented with basic mathematical skills
- Proof of legal authority to work in the United States on the first day of employment
- Criminal background check and pre-employment screening, including possible drug testing and education verification
- Required documents: list of three professional references and resume
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