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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

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

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   Current UPMC employees must apply in HR Direct

Research & Institution Billing Coordinator

  • Job ID: 189470503
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Charge Mgmt
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $17.92 to $28.44 / hour

Description

UPMC Corporate Revenue Cycle is hiring a Research & Institution Billing Coordinator to join our team at Quantum I!  This role will have work-from-home opportunities after training and expectations have been met.

Facilitate the appropriate billing and prompt/correct reimbursement for all monies owed by third parties. Monitor the auditing of research requisitions to ensure proper billing of research-related services, coordinate the billing process within the Health Services Division and identify inefficiencies.  As well as monitor institutional accounts to ensure appropriate registration, reimbursement validation, and monitor high dollar/aged accounts to ensure collectability.

Do you have prior institutional billing experience? Are you experience in EPIC?  If you answered yes, this could be the opportunity for you!  Look no further and apply today. 



Responsibilities:

 

  • Review monthly institutional statements for accuracy, and make any necessary charge transfers r adjustments as well as contact to distribute bulk payments on institutional accounts to the specific charge transactions. Responsible for Bad Debt process/Agency placements. Prepare/process facility intercompany journal entries. Support and contribute to UPMC core values and guiding principles and abide by all UPMC departmental policies, procedures and goals in the process of performing job responsibilities. Incorporates acts of dignity and respect in daily interactions.
  • Obtain research requisitions and document accordingly. Perform acocunt analysis on problematic/aged accounts. Provide recommendations to develop process improvements relative to research and institutional billing/collections. Monitor accounts receivable to facilitate the prompt resolution of accounts or issues with involved parties ncluding the Revenue Cycle, Hospital Departments and outside entities. Follow up status calls to institutional contact for payment. Assist in establishing goals to reduce the AR, improve cash collections and accounts receivable aging.
  • Perform all duties and responsibilities according to the philosophy and standards of UPMC, embracing the system-wide core competencies. Adhere to the UPMC and Revenue Cycle Standards of Conduct. Refrain from disclosing or revealing confidential information to any person and do not access patient or coworker records (either electronic or files) except as specifically necessary to perfrom job duties. Document appropriate account activity and comment codes in respective billing system. Collate monthly invoice statements, retrieve and file folders as well as submission of monthly statements via e-mail or US mail for reimbursement.
  • Support Revenue Cycle areas to ensure compliance of all revenue cycle protocols. Function as a liaison between research coordinators, research principle investigators, Compliance and the Revenue Cycle. Register Institutional/Research professional and facility accounts in the Billing System. Upon request, provide all applicable rates for clinical trials and other requests.

 

Qualifications

  • High School graduate or equivalent and two to four years of health insurance operations, claims processing or general auditing experience required.
  • Two to four years data entry experience.
  • Keyboard dexterity and accuracy.Knowledge of medical terminology, ICD-9 and CPT coding.
  • Knowledge of HMO, POS, PPO, Medicare, SNP, CHIP and Medicaid plans.
  • Detail oriented with excellent organizational, interpersonal and communication skills.
  • Knowledge of MS Office products.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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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