Job Description

Job Title: Payment Specialist
Job ID: 180000J9
Status: Full-Time
Regular/Temporary: Regular
Hours: 8:00 AM - 4:30 PM
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Billing
Location: 500 Old Pond Rd, Bridgeville PA 15017

Description

Are you a billing professional seeking a rewarding career in healthcare? If so, you might be a great fit for our team at Chartwell Specialty Pharmacy! Our billing department is growing and we are currently hiring Payment Specialists for our Bridgeville, PA office. As a Payment Specialist, you will be responsible for accurate data entry, balancing and posting payments/denial/correspondence for all designated UPMC Chartwell entities, preparing documentation related to receivables or transfers, and imaging paper documents. 

If you are passionate about healthcare and looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today!

This position will relocate to our new office in Oakdale, PA in December 2018 (about a 10 minute drive away).

Responsibilities:
  • Understand payment posting and the relationship between co-pays, deductibles, allowances and payments so that the account balance is accurate after payment is posted.
  • Key payment data from lockbox work, capturing all relevant data including payer remark codes that would assist the Billing Department to determine how to follow up on a denial.  Verify funds are in the bank before posting.  Print posted reports and manually post to the billing system any rejected payments and close receivables to next responsible payer if warranted.
  • Thoroughly research questionable/unidentified payments in order to post properly.  Contacts insurance carriers, completes documentation forms and follows up on any amounts posted to miscellaneous/unapplied.  Items posted to miscellaneous/unapplied must be resolved within 7 days, or notice provided to supervisor of the reason for the extended delay.
  • Once bank deposit and payments are in balance, provide summary to cash accounting staff to make entries.
  • Post and/or code non-cash data accurately by selecting the standard code to designate the reason (non AR, payment denial, admission approval, refund request, etc).  Post memo or contractual adjustment if warranted, and close the receivable to the next payer if warranted.
  • Prepare documentation for payments that must be transferred to another UPMC entity, or refunded to payer.  Ensure accurate posting of payments that belong to another UPMC entity or prepare appropriate documentation so that funds can be transferred or refunded.
  • Apply undistributed payments CPR+ or HC360, following established guidelines.
  • Understand how to scan and record payment and denial data to image to the Filenet system.  Know how to delete a mis-scanned batch. Log all work so that it can be balanced the next day.
  • Recognize Bad Debt transactions and supply proper documentation to assure Bad Debt payment is posted accordingly.
  • Consistently meet department productivity standards as set by management.

Qualifications

Qualifications:
  • High school graduate. 
  • 1 year of experience with 6 months in a Cash Management or a Medical Billing Role.  
  • Good data entry skill and familiarity with personal computers and software such as Excel. 
  • Analytical skills and proficiency with math operations such as balancing a checkbook.  
  • Basic accounting knowledge is essential
  • Act 34 Criminal Clearance

Salary Range: $14.12 to $22.16

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!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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