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   Current UPMC employees must apply in HR Direct

Claims Payable Analyst, Associate

Description


The function of the Associate Claims Payable Analyst is to ensure all Claims Payable Reports, Billing, Payables and Funding are completed accurately and timely. This includes, but is not limited to, funding, payables, billing, refund adjustments, check voids, negative balance reporting and adjustments, and subrogation adjustments. They will work closely with their Supervisor and Management to maintain efficient production within the department and assist in identifying and resolving issues in a proactive and timely manner. They will handle minimal reconciliation issues and interact with other departments on resolving issues. Their role may involve system testing and working with internal/external auditors.

This role is eligible for long-term partial work from home privileges, after successful completion of orientation and training.

Responsibilities:

  • Performs in accordance with system-wide competencies/behaviors.
  • Learns and adheres to policies and procedures.
  • Update vendor files based on W-9 form sent in by providers.
  • Adjust claims to reflect refunded checks and voided checks, including subrogation adjustments.
  • Interface with internal and external customers to assure resolution of inquiries and concerns.
  • Assist project teams and workgroups.
  • Gain an understanding of all Claims Payable/Billing processes.
  • Work cut logs and return mail.
  • Assist in internal/external audits.
  • Update vendor bank files for EFT payments and ACH processing.

 

Qualifications

  • Minimum of a High School diploma or GED.
  • Bachelor's Degree in Business Administration-Accounting,
  • Finance or related field preferred.
  • Insurance claims and/or claims payable billing experience preferred.
  • Competency in utilizing and understanding an integrated operating system is 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.Excellent understanding of health insurance products.
  • Competency in Excel and Word experience required.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct