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Account Representative (Harrisburg/York)

  • Job ID: 865586956
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday to Friday, 7:30 a.m. to 4 p.m.
  • Shift: Day Job
  • Facility: Community Life Team Inc.
  • Department: White Rose Ambulance
  • Location: 54 N Harrison Street, York PA 17403
  • Union Position: No
  • Salary Range: $15.19 to $22.65 / hour

Description

UPMC Pinnacle is currently hiring for an Ambulance Billing Representative in the Emergency Management System. This position will be located in York to start with plans to move to Harrisburg, PA, permanently in the coming months; some travel is involved in this position. Manage all ambulance billing functions to ensure the prompt and correct payment to Community LifeTeam of all monies owed by insurers and patients. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and billing agencies for joint billing regarding payment issues, establish reasonable payment arrangements and recommend adjustments to patient pay accounts according to Community LifeTeam policies. Review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.

This position is currently located in York, PA, with plans to move the position to Harrisburg in the next 6 months. Candidates should be able to travel to York until this office moves to UPMC's Southgate Building in Harrisburg.

Responsibilities: 

  • Basic understanding of the ambulance and non-emergency transport industry.
  • Understand, or be willing to learn, ambulance Third Party Billing and Collection Guidelines and be able to source out the information needed to complete ambulance billing functions
  • 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. (Be able to read an EOB)
  • Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System and Community LifeTeam, 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.
  • Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.

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 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 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:
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 — 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