University of Arkansas for Medical Sciences

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Medical Billing Specialist II

at University of Arkansas for Medical Sciences

Posted: 7/3/2019
Job Reference #: 60650

Job Description

  • Posted Date2 weeks ago(7/9/2019 11:41 AM)
    Requisition ID
    2019-60650
    Category
    Administrative
    Position Type
    Regular Full-Time
    Department
    VCF CORE Hosp Billing Srvs Medicaid
    Post End Date
    7/24/2019
  • Overview

    Under limited supervision, the Billing Specialist II is responsible for timely and accurate management of payer rejections and claims and claims without payer responses. The Billing Specialist II has proven the ability to complete all expectations of a Billing Specialist I. Incumbent must be able to resolve payer rejections through payer systems to ensure clean claim submission. The Billing Specialist II must understand 3rd party billing requirements; analyze patient account balances and various payer contract terms.

    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:

    • Health: Medical, Dental and Vision plans available for 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

    Salary: $29,120 ($14 Hourly)

    Sourcing for 2 (60845)

    Responsibilities

    • Performs electronic and paper specialized billing while reviewing claims for accuracy for all accounts assigned.
    • Reviews and corrects all claims that fail the billing system edits daily to ensure accurate and timely submission on accounts.
    • Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted.
    • Submits all corrected claims within time frames assigned by management or documents reasons for delays in patient accounting system.
    • Contact the payer or patient when additional information is needed to bill account.
    • Reports all new claim billing issues to Manager immediately in order to coordinate with other departments and the electronic billing vendors to resolve barriers, when necessary.
    • Reports all new claim billing issues to Manager immediately in order to coordinate with other departments and the electronic billing vendors to resolve barriers, when necessary.
    • Answers questions and provides appropriate information to fellow team members regarding the billing process and requirements.
    • Identifies ways to improve billing processes and provides recommendations for new or revised procedures.
    • Collaborates with manager effective changes related to billing achieving optimal financial outcomes and compliance with regulations.
    • Stays abreast of the latest developments, advancements and trends in the field of medical billing by attending in-services, reviewing online information, reading information from payers and fiscal intermediary.
    • Participates in compliance and regulatory programs.
    • Work effectively in a team environment, coordinating work flow 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.
    • Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization.
    • Completes all required reports accurately and timely.
    • Demonstrates positive working relationships with co-workers, management team and ancillary departments.
    • Assumes responsibility for completing or assisting on special projects as assigned by the manager.
    • Adheres to UAMS and Hospital Billing Services Department related policies and procedures.
    • Adheres to UAMS confidentiality and HIPAA policies.
    • Participates in regular review and utilizes feedback for continued quality improvement.
    • Performs other duties as assigned.

    Qualifications

    Minimum Qualifications:

    • Bachelor's degree in Business or related field plus 1 year experience in a healthcare revenue cycle related function, including 6 months medical billing experience OR High School diploma/GED plus 5 years of experience in a healthcare revenue cycle related function, including 6 months medical billing experience.
    • Must have a basic understanding of CPT, ICD-9, ICD-10 and HCPCS coding.
    • Must have UB-04 and/or HCFA 1500 billing knowledge.
    • Must be familiar with Windows environment and billing software.
    • Preferred experience in Epic.

    This position is subject to a pre-employment criminal background check. 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.

    UAMS is an Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence.

    Physical Requirements

    Stand: Occasionally
    Sit: Continuously
    Walk: Occasionally
    Bend, crawl, crouch, kneel, stoop, or reach overhead: Occasionally
    Lift, push, pull, carry weight: 11 - 25 lbs
    Use hands to touch, handle, or feel: Continuously
    Talk: Continuously
    Hear: Continuously
    Taste or smell: Continuously
    Read, concentrate, think analytically: Continuously
    Physical Environment: Inside Office Environment
    Noise Level: Moderate
    Visual Requirements: Color discrimination, Depth perception, Far visual acuity, Near visual acuity
    Hazards: None