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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

Account Representative Sr. - PBO Business Operations

  • Job ID: 364017065
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Medical Services - Admin
  • Department: PBO Business Operations
  • Location: 1200 Camp Hill Bypass, Camp Hill PA 17011
  • Union Position: No
  • Salary Range: $15.42 to $23.67 / hour

Description

Our team is growing and we have an opportunity available for an Account Representative Senior in Camp Hill, PA. If you’re familiar with ICD-10 coding, have a mindset for accuracy and a knowledge base of medical billing and insurance, and are looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity 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. 
  • 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

  • Must have one year of claims/billing/collections experience; OR four years in a business office setting; OR a Bachelors Degree; OR an equivalent combination of education and experience.
  • Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
  • Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence.
  • Prior working experience on personal computers, electronic calculators and office equipment is needed.
  • Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers.
  • Prior collections or medical billing experience with basic understanding of ICD10, CPT4, HCPCS, and medical terminology is preferred.
  • Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.
  • This position requires organization and time management skills.
  • The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
  • The position requires the ability to maintain confidentiality with regard to all assignments.

Licensure, Certifications, and Clearances:

  • 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