At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds.

Our recruiters will continue to fill positions throughout this time, but interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

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

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Account Receivable Account Specialist (Previous Day File Dept)

  • Job ID: 314574423
  • 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: $17.39 to $27.61 / hour

Description

UPMC Corporate is hiring a Account Receivable Account Specialist to join our team!  This role will work Monday through Friday during the hours of 7:30 AM to 4:00 PM at Quantum I.  The role will also have the opportunity to work from home, once training is completed and productivity is met. 

The Specialist will be responsible for all fiscal functions necessary toensure the prompt and correct payment to the provider of all monies owed by insurers.  The role will communicate with insurance companies, patients, physicians, and vendors regarding payment issues and recommend write-offs according to UPMC policies.  As well as being responsible for working edits/accounts, reviewing posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.  The Specialist is also responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with Third Party regulations.

Do you have prior health care insurance experience?  If so, this could be the next step in your billing career!  Apply today!

Responsibilities:

 

  • Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt
  • Meet quality assurance benchmark standards and maintain productivity levels as defined by management.
  • Demonstrate knowledge of the current functionality of the patient accounting system
  • Ability to perform peer to peer training
  • Identify issues and submit corrective action recommendations
  • Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
  • Ability to understand complex reimbursement issues
  • Proficient working multiple disciplines
  • 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.
  • Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution
  • Managed 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.
  • Ability to work independently with minimal supervision
  • Understand third party billing and collection guidelines
  • 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.

 

Qualifications

  • HS/Equivalent and two years of healthcare billing, registration, or patient business services or five years experience in a business office setting OR BS and one year experience in a business office setting OR equivalent combination of education and experience required
  • Knowledge of medical terminology, third party payor guidelines and reimbursement practices, and available financial resources for payment of balances due.
  • Good computer skills, including spreadsheet application and word processing.


Licensure, Certifications, and Clearances:

  • Act 34 


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