Job Description

Job Title: Billing Specialist
Job ID: 675485
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: GLPP Administration
Location: 15 South Main Street, Jamestown NY 14701

Description

Job Summary:

UPMC Hamot is hiring a Billing Specialist to support the Great Lakes Physician Practice on Monday through Friday from 8:00 a.m. to 4:30 p.m. In this role, you will accurately prepare, submit and follow up on all patient claims to various third party payers and/or designated agencies. Additionally, you will analyze accounts receivable reimbursements, monitor trends and utilize in-depth problem solving techniques to resolve issues.  Finally, you will be responsible for taking payments at the front window and answering phones.

Responsibilities:
  • Accepts responsibility for personal and professional growth. Attends department meetings (unless otherwise excused). Participates in RHMS and/or Hamot activities and inservices. Maintains documentation of attendance of annual training, mandatory education and age specific criteria. Arrives at workstation ready to work at scheduled time, i.e., start of shift, breaks, lunch, etc.
  • Demonstrates the ability to meet the needs of both the customer and co-workers in a caring, competent manner acting as an information resource to others. Coordinates the flow of communication regarding any third party payer updates and/or changes between other Billing Specialists, Team Leader, Supervisors, Director, Physician Practice Staff and other Departments. Accurately prioritizes information and refers it to appropriate personnel. Maintains confidentiality with respect to any and all information learned through performing this role.
  • Do initial billing through submission of claims to the appropriate third party payers, through electronic process or hard copy mailing, according to the established deadlines and requirements of the payer. When it is necessary request system changes due to changing billing requirements or system problems working in conjunction with the RHMS Team Leader and the Supervisors.
  • Required to do claims follow up and analysis, reviewing inquiries, correcting claims as appropriate and resubmission of claims for payment. Billing Specialist is expected to complete their work files through PCS and follow up on all outstanding claims which have not be processed or are in need of appeal.
  • Responsible for recording all action taken on the account in the notes field in the computer system. Responsible for maintaining the integrity of the billing file and all pertinent records and the accurate account adjustments with related documentation.

Qualifications

  • High-school Diploma or equivalent required 
  • Three years previous billing/accounts receivable experience in Healthcare facility or Physician office setting.
  • One year of in-depth accounts receivable analysis
  • Knowledge in medical terminology, ICD-9/10 and CPT coding. 
  •  Operating knowledge of basic business office equipment.  
  • Demonstrated proficiency in working on computer system.
  • IDX knowledge preferred. 
  • Work requires interpersonal skills to effectively communicate with a wide range of people, exchange information on factual matters, understand and transmit instructions. 
  • Interactions require good customer service skills and basic common courtesy. This position typically reports to Billing Supervisor

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

Salary Range: $11.96 to $17.82

Union Position: No

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