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Account Representative

  • Job ID: 980763136
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Ins Collections
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $15.65 to $24.56 / hour

Description

UPMC Corporate Revenue Cycle is hiring an Account Representative to join our team! This role will work at our Quantum I building and have work-from-home opportunities after training has been completed.  The Full-Time position will work Monday through Friday during the hours of 7:30 AM to 4:00 PM.

The Account Representative will manage all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed to the provider by insurers and patients.  Ensure claims are submitted accurately and timely, communicate with insurance companies, patients, and physicians regarding payment issues, establish reasonable payment arrangements and recommend adjustments according to UPMC policies.  As well as reviewing the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.  In addition, the role will identify and assign appropriate status codes.

Do you have prior experience in billing and collections?  If so, this could be an opportunity for you!  Apply today!

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 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:

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