Job Description

Job Title: Billing Specialist
Job ID: 698995
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Mon Yough
Department: MH Case Management
Location: 500 Walnut Street, Mckeesport PA 15132

Description

Job Summary:

Are you an experienced billing professional looking to advance your career with UPMC? Mon Yough Community Services is hiring a Billing Specialist to support the Targeted Case Management department during daylight hours on Monday through Friday. 

The primary function of the Billing Specialist is to perform necessary functions to support timely follow-up of unpaid third party claims and appeals. The Billing Specialist will ensure integrity of billing system by updating insurance and demographic information as necessary and will resolve moderate to complex patient inquiries and problems.

Responsibilities:
  • Enter payments and correct errors and inaccurate information.
  • Generate patient bills according to established procedures and reviews patient bills for accuracy.
  • Review claim denials from the rejection report and performs claim follow-up based on policy.
  • Review demographic and insurance information on a routine basis and updates the patient/guarantor as required to ensure accuracy of claims and statement filing
  • Validate successful transmission of claims to insurance carriers and intermediaries on assigned claims while performing claim follow-up.
  • Verify insurance benefits information with all available carriers via on-line electronic system or telephone with payors and subscribers as required.

Qualifications

  • High school diploma or equivalent. 
  • Prior medical billing experience is preferred.
  • Knowledge of medical terminology, CPT codes and diagnosis codes.  
  • Good computer skills, including spreadsheet application and word processing.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

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

Salary Range: $12.22 to $18.61

Union Position: No

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