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!This position will work one of the following shifts: Monday to Friday, 7:00 a.m. to 3:30 p.m., 7:30 a.m. to 4:00 p.m., or 8:00 a.m. to 4:30 p.m.
Responsibilities:
Responsibilities:
- Understand Third Party Billing and Collection Guidelines.
- Assist in identifying root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of claim rejections and denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.
- 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.
- 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.
Qualifications
- Must have 1 year of claims/billing/collections experience; OR 4 years in a business office setting; OR a Bachelors Degree; OR an equivalent combination of education and experience.
- Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
- Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence.
- Prior working experience on personal computers, electronic calculators and office equipment is needed.
- Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers.
- Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
- Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.
- This position requires organization and time management skills.
- The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
- The position requires the ability to maintain confidentiality with regard to all assignments.
Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days.
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 — 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.
