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   Current UPMC employees must apply in HR Direct

Account Representative (Twin Lakes Center)

  • Job ID: 685749772
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: M-F 7:30am-4PM
  • Shift: Day Job
  • Facility: Mon Yough Community Services
  • Department: Administration
  • Location: 224 Twin Lake Road, Somerset PA 15501
  • Union Position: No
  • Salary Range: $12.03 to $21.08 / hour

Description

The Account Representative will support Twin Lakes Center, a 40-bed residential unity with five outpatient offices.

The hire for this position will work with outpatient client billing. A high school diploma or GED required to qualify for this role. Prior related experience preferred, but not required. Department is willing to train those who possess excellent attention to detail. Must be familiar with Microsoft Office Suite, especially Excel. 

This is an M-F, daylight position, 730a-4p. The dress code is business casual. 

 

Responsibilities:

 

  • Understand Third Party Billing and Collection Guidelines.
  • 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.
  • 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.
  • Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
  • 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.
  • Identify issues and submit corrective action recommendations.

 

Qualifications

  • High school graduate or equivalent.
  • Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary.
  • Ability to communicate with patients, payors, outside agencies, and the general public through telephone, electronic, and written correspondence.
  • Working experience on personal computers, electronic calculators, and various office equipment is needed. Collections or medical billing experience with a basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
  • Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.


Licensure, Certifications, and Clearances:

  • Cardiopulmonary Resuscitation (CPR)
  • Act 31 Child Abuse Reporting with renewal
  • 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 — 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