Description
Perform necessary functions to support timely follow-up of unpaid third party claims and appeals. Ensure integrity of billing system by updating insurance and demographic information as necessary. Resolve moderate to complex patient inquiries and problems.The ideal candidate for this role will have prior billing experience. The schedule for this position is daylight, variable schedule. Dress code is business casual.
Responsibilities:
- Verify insurance benefits information with all available carriers via on-line electronic system or telephone with payors and subscribers as required.
- Review demographic and insurance information on a routine basis and updates the patient/guarantor as required to ensure accuracy of claims and statement filing
- Enter payments and correct errors and inaccurate information.
- Validate successful transmission of claims to insurance carriers and intermediaries on assigned claims while performing claim follow-up.
- Generate patient bills according to established procedures and reviews patient bills for accuracy.
- Review claim denials from the rejection report and performs claim follow-up based on policy.
Qualifications
- High school diploma or equivalent.
- Knowledge of medical terminology, CPT codes and diagnosis codes.
- Good computer skills, including spreadsheet application and word processing.
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.
