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For more information about UPMC's response to COVID-19, please visit upmc.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Account Representative

  • Job ID: 954124808
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday to Friday
  • Shift: Day Job
  • Facility: Pinnacle Health Medical Services - Admin
  • Department: PBO Business Operations
  • Location: 1200 Camp Hill Bypass, Camp Hill PA 17011
  • Union Position: No
  • Salary Range: $13.97 to $22.37 / hour

Description

Our team is growing and we have a variety of opportunities available for Account Representatives. If you’re familiar with ICD-10 coding, have a mindset for accuracy and a knowledge base of medical billing and insurance, and are looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today! 

Responsibilities:
  • Understand Third Party Billing and Collection Guidelines.
  • 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.
  • 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.
  • 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.
  • Manage 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.
  • Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.
  • Identify issues and submit corrective action recommendations.

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.

Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Total Rewards

    More than just competitive pay and benefits, our Total Rewards package cares for you in all areas of life. Designed to help you achieve your goals, Total Rewards support our belief that you’re at your best when you’re receiving the support you need in all areas of life: professional, personal, financial, and more.

    Our Values

    No matter where we work or what we do, we’re driven by common values that guide our work and keep us accountable to one another. UPMC’s 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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