Job Description

Job Title: AR Account Specialist
Job ID: 710522
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Rev Cyc Ins Collections
Location: 2 Hot Metal Street, Pittsburgh PA 15203

Description

Job Summary:

UPMC Corporate Services is hiring an AR Account Specialist to support the Revenue Cycle Insurance Collections department during daylight hours on Monday through Friday. 

In this role, you will be responsible for all fiscal functions necessary to ensure the prompt and correct payment to the provider of all monies owed by insurers. In doing so, you will communicate with insurance companies, patients, physicians, and vendors regarding payment issues and recommend write-offs according to UPMC policies.  You will be responsible for working edits/accounts, reviewing posting and balancing of payment/denial and adjustment transactions necessary for closing accounts. You will be responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with Third Party regulations.

Responsibilities:
  • Ability to perform peer to peer training
  • Ability to understand complex reimbursement issues
  • Ability to work independently with minimal supervision
  • Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution
  • Demonstrate knowledge of the current functionality of the patient accounting system
  • Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt
  • Identify issues and submit corrective action recommendations
  • Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.
  • Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.
  • Meet quality assurance benchmark standards and maintain productivity levels as defined by management.
  • Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of "The Basics of Service Excellence" towards patients, visitors, staff, peers, physicians and other departments within the organization.
  • Proficient working multiple disciplines
  • Understand third party billing and collection guidelines
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.

Qualifications

  • High School Diploma or equivalent and two years of healthcare billing, registration, or patient business services or five years experience in a business office setting OR Bachelor's degree and one year experience in a business office setting OR equivalent combination of education and experience required.
  • Knowledge of medical terminology, third party payor guidelines and reimbursement practices, and available financial resources for payment of balances due. 
  • Good computer skills, including spreadsheet application and word processing.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $16.23 to $25.77

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
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RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

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