Job Description

Job Title: Manager, Reimbursement
Job ID: 725527
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Specialty Reimbursement
Location: 215 Beecham Drive, Pittsburgh PA 15205

Description

Purpose:
Responsible for the training, updating and monitoring of the performance of branch Insurance Verification activities and staff including, Reimbursement Assistants, Enteral Customer Service Specialists and Ship Order staff.. Negotiates discounts with case managers for IV therapies and helps resolve problems associated with insurance verification. Positing will be relocating to Oakdale.

Responsibilities:
  • Ensure all policies, reports, schedules, registers and logs required of the department are properly maintained and issued as required.
  • Establish procedures so that appropriate submission, billing and payment cycles of patient accounts can be maintained.
  • Identify, develop and participate in process improvement opportunities that will enhance the quality of service provided.
  • Implement the financial policies and procedures that relate to receivable management to insure established collection targets are met and receivables are maintained at an acceptable level.
  • Monitor the cost effectiveness and adherence to the budget for the areas of responsibility.
  • Oversight of productivity monitoring and receivable operations in order to improve internal controls and productivity levels.
  • Prepare reports and proposals, and recommends actions, including training programs where appropriate for internal and external customers.
  • Ultimate responsibility for the entire billing, collections and insurance verification operation, ensuring the automated and/or manual accounts receivable records meet established standards.

Qualifications

  • High school diploma or equivalent
  • Associates degree preferred
  • B.S. degree in Finance, Business, or Health Care preferred 
  • 5 years in health care reimbursement required 
  • Strong automated billing and health care accounts receivable management
  • Prior management experience strongly preferred 
  • Specialty pharmacy experience preferred
Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

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

Salary Range: $28.37 to $47.88

Union Position: No

Apply Current Employee?

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.



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

Share:
Talent Network