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Price Estimate Analyst

  • Job ID: 190001JT
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8:30 a.m. to 5 p.m.
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient FinancialSupport
  • Location: 1200 Camp Hill Bypass, Camp Hill PA 17011
  • Union Position: No
  • Salary Range: $17.93 to $26.91 / hour

Description

Purpose:
Join an organization that cares! UPMC is searching for an Price Estimate Analyst to join their Patient Financial Support team.  Design, develop, and analyze system edits, payer and provider system maintenance, electronic submission errors and financial/statistical reports that will support the operational needs of the central business office. Provide weekly/monthly summaries to the management team.

Responsibilities:
  • Perform duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.
  • Refran from disclosing or revealing confidential information to any person and do not access patient or coworker records (either electronic or files) except as specifically necessary to perform job duties.
  • Liaise with physician offices, internal departments and insurance companies to develop accurate estimate if requests are vague or incomplete.
  • Deliver Price Estimates to patients in a courteous and knowledgeable manner, providing clarification about the patient's benefits if requested.
  • Mantain compliance with quality standards.
  • Utilize the price estimate software where applicable.
  • Maintain departmental productivity levels.
  • Create timely Price Estimates by identifying and analyzing comparable patient examples, utilizing insurance website or hotlines to confirm eligibility and benefits, reviewing appropriate fee schedules to determine correct charges and applying all information to ascertain patient liability.

Qualifications

  • High School diploma or equivalent and 5 years of experience, OR Bachelor's degree and 1 year of experience.
  • Bachelor's degree in Business Administration, Finance or Accounting preferred.
  • Strong PC and computer skills are required (Excel, Access and Crystal report writing).
  • Must possess strong analytical and problem-solving skills.
  • Familiarity with large-scale, automated patient billing systems (e.g., Medipac, EPIC), medical terminology, and fee schedules and coding (e.g., CPT/HCPCS) preferred.
  • Strong analytical and problem solving skills, organzation and time management.
  • Previous experience with insurance verification and benefit application preferred.
  • Must develop and manage positive working relationships with colleagues, management, 3rd party payers, patients or their representatives, physicians and hospital leadership.
  • Good oral and written communication skills required.

Licensure, Certifications, and Clearances:
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

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

    Total Rewards

    More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

    Our Values

    At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

       Current UPMC employees must apply in HR Direct

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