Job Description

Job Title: 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:
Department: Patient FinancialSupport
Location: 1200 Camp Hill Bypass, Camp Hill PA 17011

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

    Salary Range: $17.93 to $26.91 / hour

    Union Position: No

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    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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