Job Description

Job Title: Ambulance Billing Representative - York, PA
Job ID: 27556255
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Community Life Team Inc.
Department: White Rose Ambulance
Location: 54 N Harrison Street, York PA 17403

Description

UPMC Pinnacle is currently hiring for an Ambulance Billing Representative in the York, Pa Emergency Management System. Primarily located in the York, PA location and some minimal travel involved in this position. Manage all ambulance billing functions to ensure the prompt and correct payment to Community LifeTeam of all monies owed by insurers and patients. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and billing agencies for joint billing regarding payment issues, establish reasonable payment arrangements and recommend adjustments to patient pay accounts according to Community LifeTeam policies. Review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.

 

Responsibilities: 

  • Basic understanding of the ambulance and non-emergency transport industry.
  • Understand, or be willing to learn, ambulance Third Party Billing and Collection Guidelines and be able to source out the information needed to complete ambulance billing functions
  • 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. (Be able to read an EOB)
  • Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System and Community LifeTeam, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians, and other departments within the organization.
  • Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
  • Demonstrate knowledge of the current functionality of the patient accounting systems.
  • Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.

Qualifications

  • High school graduate or equivalent.
  • Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
  • Ability to communicate with patients, payors, outside agencies, and general public through telephone, electronic and written correspondence.
  • Working experience on personal computers, electronic calculators and various office equipment is needed.
  • Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
  • Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.

Salary Range: $13.97 to $22.37 / hour

Union Position: No

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