Job Description

Job Title: Payment Application Specialist
Job ID: 683197
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Children's Community Pediatrics
Department: Billing Office
Location: 11279 Perry Highway, Wexford PA 15090

Description

Do you have a strong background with medical billing and payment posting? Have a passion for working in pediatrics? UPMC may have the job for you! Children's Community Pediatrics is hiring a full-time Payment Application Specialist for the CCP Central Billing office in Wexford. This position will be working the daylight shift.

Purpose:

Is responsible for a variety of services relating to accounting functions such as: preparation of daily deposit, posting and balancing of payment/denial and adjustment transactions and balancing to the systems' daily deposit slip and daily ledger. Reviews credit balance accounts and prepared refunding to appropriate parties.

Responsibilities:
  • Initiate and support secondary billing efforts.
  • Post all receipts to the patients accounts and review transaction reports to assure correct posting/balancing.
  • Post approved adjustment transactions to debit/credit account balance (e.g., contractual allowances, refunds, etc.) to bring account to appropriate balance.
  • Post daily receipts to the ledger upon the date of receipt.
  • Prepares all mail order charge slips to include calling for authorization numbers and includes in daily deposit for delivery to bank.
  • Prepares daily bank deposit. Make copies of all checks received. Endorses all checks with rubber stamp, scans checks for proper "pay to" date and signature, staples check copies to remittance advices maintaining alphabetical order within each financial class.
  • Responsible for opening the daily mail, separating the checks into financial classes, alpha sort the private pay and commercial payments and forward such to the Supervisor of Payment Application.
  • Responsible for reviewing and resolving unidentified cash issues.
  • Retrieve mail upon arrival to the Billing Office.
  • Review overpaid accounts and prepares to process refunds, adjustments, payment/denial transfers, etc. to bring account to appropriate balance.
  • Run an accurate/error free final bank tape for original checks going to the bank for the daily deposit and forward to the Supervisor of Payment Application.
  • Running an accurate tape of the deposit upon the return of the checks from the Supervisor of Payment Application.

Qualifications

High school diploma 2 years work experience in Physician Practice Plan or Hospital Business Office Experience in cash application and posting, third party payor guidelines and reimbursement practices. Background in electronic reconciliation processes. Knowledge of medical terminology preferred

Licensure, Certifications, and Clearances:
  • Act 33 Child Clearance with Renewal
  • Act 34 Criminal Clearance with Renewal
  • Act 73 FBI Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $13.32 to $20.31

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

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