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   Current UPMC employees must apply in HR Direct

Account Representative Senior

  • Job ID: 434537286
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday to Friday, 7:00 a.m. to 3:30 p.m.
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient Accounts
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $15.42 to $23.67 / hour

Description

Our team is growing and we have an opportunities available for the role of Account Representative Senior. 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:
  • 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.
  • Ability to work multiple payers
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
  • 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.
  • Managed 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.
  • Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
  • Understand third party billing and collection guidelines
  • Demonstrate knowledge of the current functionality of the patient accounting systems.
  • Identify issues and submit corrective action recommendations.
  • Ability to work independently with minimal supervision
  • Meet quality assurance benchmark standards and maintain productivity levels as defined by management.

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.
  • Prior Billing experience strongly preferred, but not required.

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, 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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