Job Description

Job Title: Payment Specialist I
Job ID: 727090
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Payment Posting
Location: 600 Grant St, Pittsburgh PA 15219

Description

Job Summary:

UPMC Corporate Services is hiring a Payment Specialist I to help support the Cash Management Department. This position will work standard business hours, Monday through Friday, in downtown Pittsburgh.

In this role, you will manage accurate data entry, and balance and post payments/denial/correspondence for all designated UPMC entities. You will also prepare all documentation related to receivables or transfers as required by the department, and to image paper documents.

Do you have experience with healthcare billing? If so, apply online today to be considered for this opportunity!

Responsibilities:
  • Apply undistributed payments on EPIC billing system, following established guidelines.
  • Consistently meet department productivity standards as set by management.
  • 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.
  • Manually correct all VDE denial exceptions within the applicable billing system following the department procedures.
  • 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 (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.
  • Recognize Bad Debt transactions and supply proper documentation to assure Bad Debt payment is posted accordingly.
  • Thoroughly research questionable/unidentified payments in order to post properly. Contacts insurance carriers, completes documentation forms and follows up on any amounts posted to suspense or UTL. Items posted to suspense or UTL must be resolved within 7 days, or notice provided to supervisor of the reason for the extended delay.
  • 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.
  • Understand payment posting and the relationship between co-pays, deductibles, allowances and payments so that the account balance is accurate after payment is posted.

Qualifications

  • High school graduate. 
  • One year of experience with six months in Cash Management or 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.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

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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