At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds. Visit upmc.com/vaccinesupport to learn more about how you can help.

Our recruiters will continue to fill positions throughout this time, but interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

For more information about UPMC's response to COVID-19, please visit upmc.com/coronavirus.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Accounts Receivable Claims Analyst, Associate

  • Job ID: 449633066
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Finance
  • Department: INS Finance
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $16.37 to $25.78 / hour

Description

Whether you’re looking for a collaborative team setting, a career path that can lead to leadership, or experience with an industry leader, our Accounts Receivable Claims Analyst, Associate opportunity offers many ways for you to get involved!

The function of the Accounts Receivable Claims Analyst, Associate is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group reimbursements are completed accurately and timely. They will work closely with the Director, Finance Operations to maintain existing clients, onboard new clients, and assist in identifying and resolving issues in a proactive and timely manner. They will frequently engage with Product Management, and Sales & Account Management in maintain our service levels to our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings.

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as Women Inspiring Talent in Heath Care in Finance (WITH) or PRIDE Health, that support the implementation of our diversity strategy.


Responsibilities:

 

  • Maintain an understanding of all industry-wide HRA, FSA, ASO & Stop Loss product offerings
  • Perform client payment processes including direct debiting, while working with the Accounting Department to ensure that client payments are being received and reconciled appropriately
  • Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements are functioning as intended
  • Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group clients to ensure that all relevant claims are set to be billed appropriately
  • Interface with internal and external customers via a dedicated email service account, to assure resolution of inquiries and concerns
  • Monitor and ensure that client receivables are maintained within contracted terms
  • Assist project teams and workgroups to benefit improvements & process changes for HRA, FSA, ASO & Stop Loss products
  • Assist in internal/external audits that pertain to HRA, FSA, ASO & Stop Loss products

 

Qualifications

  • Minimum of a High School diploma or GED
  • Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred
  • Minimum of 1 year of healthcare, insurance, or other financial experience required
  • Demonstrate professionalism, enthusiasm and initiative daily, as well as the ability to handle multiple tasks
  • Excellent communication and organization skills with the ability to represent the department on workgroups and/or projects
  • Microsoft office with emphasis on spreadsheet application required, and claims processing system experience is 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 — 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