Job Description

Job Title: Account Representative Senior
Job ID: 735659
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

Are you a medical billing professional interested in a career that provides plenty of opportunity for growth and development? UPMC Corporate Services has an exciting new opportunity available! We are looking for an Account Representative Senior to help support the Insurance Collections Department located at the Quantum Building during daylight hours on Monday through Friday. 


The Account Representative Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed by both insurers and patients. Some responsibilities include: ensuring claims are submitted accurately and timely; communicating with insurance companies, patients and physicians regarding payment issues; and reviewing high dollar accounts on a regular basis. 

 


Responsibilities:
  • Demonstrate knowledge of the current functionality of the patient accounting systems.
  • Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
  • 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.
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.

Qualifications

  • Must have one year of claims/billing/collections experience; OR four years in a business office setting; OR a Bachelors Degree; OR an equivalent combination of education and experience.
  • Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
  • Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence.
  • Prior working experience on personal computers, electronic calculators and office equipment is needed.
  • Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers.
  • Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
  • Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.
  • This position requires organization and time management skills.
  • The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
  • The position requires the ability to maintain confidentiality with regard to all assignments.

Licensure, Certifications, and Clearances:

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

Salary Range: $14.53 to $22.86

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.



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