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Claims Payable Analyst, Associate

  • Job ID: 826918007
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Finance
  • Department: INS Claims Payable
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $16.36 to $25.72 / hour

Description

Join our team today as a Claims Payable Analyst, Associate! This role offers flexible work arrangements after training- apply today!

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 is a fast-paced position within a quick-change department.  We’re looking for someone that wishes to learn and grow with the department, and who has a positive, can-do attitude!

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as Women Inspiring Talent in Heath Care in Finance (WITH) or PRIDE Health, that support the implementation of our diversity strategy. 

Responsibilities:

 

  • Perform any other duties as assigned.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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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

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