Job Description

Job Title: Billing Specialist
Job ID: 77314846
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

Purpose:
UPMC is hiring a Billing Specialist to join their Mon Yough Community Services team!  This role will perform necessary functions to support timely follow-up of unpaid third party claims and appeals. They will ensure integrity of billing system by updating insurance and demographic information as necessary.  They will also resolve moderate to complex patient inquiries and problems.

This role is Monday through Friday during normal business hours.  Apply today!

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. 
  • 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: $12.93 to $19.68 / hour

Union Position: No

Apply Current Employee?

UPMC VALUES

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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