Job Description

Job Title: Billing Specialist I - Erie
Job ID: 85759747
Status: Full-Time
Regular/Temporary: Regular
Hours: Monday thru Friday 9-5
Shift: Day Job
Facility:
Department: Administration
Location: 1330 West 26 Street, Erie PA 16508

Description

As a Billing Specialist I you will perform necessary functions to support timely follow-up of unpaid third party claims and appeals. Ensure integrity of billing system by updating insurance and demographic information as necessary. Resolve moderate to complex patient inquiries and problems.

Responsibilities:
  • Review claim denials from the rejection report and performs claim follow-up based on policy.
  • Enter payments and correct errors and inaccurate information.
  • Verify insurance benefits information with all available carriers via on-line electronic system or telephone with payors and subscribers as required.
  • Generate patient bills according to established procedures and reviews patient bills for accuracy.
  • 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.

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 31 to job code as an either/or with Act 126. Obtained within 90 days of hire or transfer.

  • Act 31 Child Abuse Reporting
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $12.93 to $19.68 / hour

    Union Position: No

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