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   Current UPMC employees must apply in HR Direct

Payment Specialist II

  • Job ID: 278567431
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Treasury
  • Department: Payment Posting
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $15.42 to $24.25 / hour

Description

Purpose:

Do you have experience in accounts receivable? Are you looking to grow your career within healthcare payment posting and balancing? UPMC is looking to hire a full-time Payment Specialist II to work downtown in the U.S. Steel Tower. This position will work Monday through Friday during daylight hours.

Payment Specialist IIs analyze, post, balance, and report payments and denials for UPMC designated entities and payers to the appropriate billing system(s). They manage electronic remittance file retrieval and posting, as well as perform various control processes (imaging, spreadsheet updating, account monitoring, etc.).

If you’re up for the challenge, apply today!

Responsibilities:
  • Post and/or code non-cash data accurately by selecting the standard code to designate the reason (payment denial, admission approval, refund request, etc.). Post memo or contractual adjustment if warranted, and close the receivable to the next payer if warranted.
  • Prepare documentation for payments that must be transferred to another UPMC entity, or refunded to payer. Ensure accurate posting of payments that belong to another UPMC entity or prepare appropriate documentation so that funds can be transferred or refunded.
  • Manually resolve any rejected payments (post, refund or transfer) for electronic remittance files.
  • Recognize bad debt transactions and supply proper documentation to ensure bad debt payment is posted accurately.
  • Print summary reports. Generate and distribute payer specific electronic posting summary and exception reports to department designee immediately upon completion of payer file run.
  • Understand payment posting and the relationship between co-pays, deductibles, allowances and payments so that the account balance is accurate after payment is posted.
  • Consistently meet departmental productivity standards as set by management.
  • Post and reconcile non-sufficient funds, credit files, stop payments and any/all miscellaneous bank account debit adjustments and chargebacks.
  • Verify, import and post electronic remittance/denial files for assigned payers, ensuring that funds are in the bank prior to posting. Identify and communicate to management any unusual delays, balancing issues, new codes or adjustments.
  • Apply undistributed payments on PIC billing system, following established guidelines.
  • Perform other tasks as assigned by Supervisor and/or Manager.
  • Thoroughly research questionable/unidentified payments in order to post properly. Contact insurance carriers, complete documentation forms and follow up on any amounts posted to suspense or UTL. Items posted to suspense or UTL must be resolved within 7 days, or notice provided to supervisor of the reason for the extended delay.
  • Key payment data from lockbox work capturing all relevant data including payer remark codes that would assist the Billing Department to determine how to follow up on a denial. Verify that funds are in the bank prior to posting. Import and post files, and reconcile funds in the bank to payments posted. Print posted reports and manually post to the billing system any rejected payments and close the receivable to the NRP as warranted.
  • Serve as a resource to other employees, as requested by management.

Qualifications

  • High school diploma required.
  • 3 years experience in an accounts receivable environment, preferably in the health care field.
  • Knowledge of payment application, billing and reconciliation.
  • Rapid typing/data entry skill and familiarity with personal computer software such as Excel.
  • Analytic mind that likes to resolve out-of-balance situations and math challenges.
  • Associate or B.A. degree in accounting or business 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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