Job Description

Job Title: AR Account Specialist
Job ID: 85302368
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Rev Cyc Cancer Centers
Location: 2 Hot Metal Street, Pittsburgh PA 15203

Description

Purpose:
Grow in your career with UPMC!  We are hiring an AR Account Specialist to support the Revenue Cycle team.  This role is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the provider of all monies owed by insurers.  The position communicates with insurance companies, patients, physicians, and vendors regarding payment issues and recommend write-offs according to UPMC policies.  This role is responsible for working edits/accounts, reviewing posting and balancing of payment/denial and adjustment transactions necessary for closing accounts. The position is responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with Third Party regulations.

It is based at the Quantum I building in Pittsburgh, Monday through Friday during normal business hours.  

Responsibilities:
  • Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt
  • Meet quality assurance benchmark standards and maintain productivity levels as defined by management.
  • Demonstrate knowledge of the current functionality of the patient accounting system
  • Ability to perform peer to peer training
  • Identify issues and submit corrective action recommendations
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
  • Ability to understand complex reimbursement issues
  • Proficient working multiple disciplines
  • 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.
  • Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution
  • 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.
  • Ability to work independently with minimal supervision
  • Understand third party billing and collection guidelines
  • 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.

Qualifications

  • High School/Equivalent and two years of healthcare billing, registration, or patient business services OR five years experience in a business office setting OR Bachelor's degree and one year experience in a business office setting OR equivalent combination of education and experience required
  • Knowledge of medical terminology, third party payer guidelines and reimbursement practices, and available financial resources for payment of balances due. 
  • Good computer skills, including spreadsheet application and word processing.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $16.72 to $26.54 / 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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