COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

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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Account Representative II, Rx Partners

  • Job ID: 721769702
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: RxPartners
  • Department: 41203 RXPLT RX at Home
  • Location: 500 Old Pond Rd, Bridgeville PA 15017
  • Union Position: No
  • Salary Range: $16.36 to $25.72 / hour

Description

UPMC Rx Partners is looking for a full time Account Rep II to join their growing team.

The Account Rep II will manage all fiscal functions necessary to ensure the prompt and correct payment of all monies owed by both insurers and patients.

This role will work 8:30 am to 5:00 pm. Once trained, there is an opportunity to work from home on alternating weeks.

UPMC offers a generous benefits package, an expansive Total Rewards package, opportunity to grow your career, and much more. Apply today!

Responsibilities:

  • Review billing edit report to identify and perform data edits needed to ensure that claims are submitted to the correct payer and that all required information is included.
  • Monitor top 10 high dollar accounts per financial class as assigned.
  • Prepare adjustments that are necessary to change existing accounts receivable to update patient information.
  • Post, reconcile, mail and file all refunds that are created.
  • Create and maintain Excel spreadsheets to report daily, weekly or monthly activity of cash, billing and collection status.
  • Maintain, correct and reconcile batch posting for any or all payers as requested by the Supervisor.
  • Utilize billing software to confirm orders for billing.
  • Submit claims to appropriate insurance carriers or organizations to obtain payment for services provided.
  • Review unpaid accounts by examining remittance advice and aging reports for overpayments and refunds. Investigate and take action on unpaid accounts to bring them to closure.
  • Mail private pay statements to patients and perform necessary follow-up and investigative work as required
  • Answer billing and insurance inquiries on patient accounts from patients, insurance companies and other departments.
  • Prepare or obtain documents necessary for claim submission.
  • Identify and document overdue patient accounts to be sent to collections.
  • Identify and post cash to correct patient accounts. All unidentified cash is resolved in a timely manner.
  • Knowledgeable and responsible for multiple payers.
  • Reconcile lockbox to the daily deposits.
  • Prepare all cash, claim and related backup documentation for filing and/or storage.
  • Prepare custom billing statements for special accounts and/or institutional billing, as required.
  • Maintain daily cash transactions for bad debt.

 

Qualifications

  • Associate's degree preferred.
  • 1 - 2 years collections or medical billing experience required.
  • 4 - 5 years business office experience required.
  • Prior personal computer experience required.
  • Completion of medical terminology course preferred.
  • Completion of post high school program preferred.
  • Strong communication and organizational skills preferred.


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