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   Current UPMC employees must apply in HR Direct

Account Representative II, Rx Partners

  • Job ID: 351933880
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: RXPTN-RxPartners
  • Department: 41210 RXPLT RXP Admin
  • Location: 500 Old Pond Rd, Bridgeville PA 15017
  • Union Position: No
  • Salary Range: $15.42 to $24.25 / hour

Description

Manage all fiscal functions necessary to ensure the prompt and correct payment of all monies owed by both insurers and patients.

Responsibilities:

  • Review billing edit report to identify and perform data edits needed to ensure that claims are submitted to the correct payer and that all required information is included.
  • Monitor top 10 high dollar accounts per financial class as assigned.
  • Prepare adjustments that are necessary to change existing accounts receivable to update patient information.
  • Post, reconcile, mail and file all refunds that are created.
  • Create and maintain Excel spreadsheets to report daily, weekly or monthly activity of cash, billing and collection status.
  • Maintain, correct and reconcile batch posting for any or all payers as requested by the Supervisor.
  • Utilize billing software to confirm orders for billing.
  • Submit claims to appropriate insurance carriers or organizations to obtain payment for services provided.
  • Review unpaid accounts by examining remittance advice and aging reports for overpayments and refunds. Investigate and take action on unpaid accounts to bring them to closure.
  • Mail private pay statements to patients and perform necessary follow-up and investigative work as required
  • Answer billing and insurance inquiries on patient accounts from patients, insurance companies and other departments.
  • Prepare or obtain documents necessary for claim submission.
  • Identify and document overdue patient accounts to be sent to collections.
  • Identify and post cash to correct patient accounts. All unidentified cash is resolved in a timely manner.
  • Knowledgeable and responsible for multiple payers.
  • Reconcile lockbox to the daily deposits.
  • Prepare all cash, claim and related backup documentation for filing and/or storage.
  • Prepare custom billing statements for special accounts and/or institutional billing, as required.
  • Maintain daily cash transactions for bad debt.

Qualifications

  • Associate's degree preferred.
  • 1 - 2 years collections or medical billing experience required.
  • 4 - 5 years business office experience required.
  • Prior personal computer experience required.
  • Completion of medical terminology course preferred.
  • Completion of post high school program preferred.
  • Strong communication and organizational skills preferred.

    Licensure, Certifications, and Clearances:

    UPMC is an Equal Opportunity Employer/Disability/Veteran

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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