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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 complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

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

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Charge Processing Specialist

  • Job ID: 895507391
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday - Friday, Daylight
  • Shift: Day Job
  • Facility: UPMC Community Medicine Incorporated
  • Department: 56555 ZCMS1 Venango Internal Med
  • Location: 1 Memorial Drive, Oil City PA 16301
  • Union Position: No
  • Salary Range: $14.52 to $21.92 / hour

Description

UPMC Community Medicine Incorporated is looking for a Charge Processing Specialist to support their growing team! In this position, you will work Monday - Friday during daylight hours, processing charges, obtaining and entering Managed Care authorizations, balancing charges, and assisting in the resolution of billing or insurance issues.

This position is located at Venango Internal Medicine in Oil City, PA and has free onsite parking!

Responsibilities:

 

  • Ensure physician charges are applied to the correct patient account by verifying information indicated on charge document against system information.
  • Assist in the development of the charge processing manuals for each location.
  • Verify all charge batches entered are processed with the correct revenue location.
  • Coordinate the exchange of information/documentation with other practice plans or ancillary departments.
  • Verify the appropriate Place of Service (POS) code is submitted in relation to the rendered procedure Type of Service (TOS) at the charge entry level based on payer specific requirements. The UPP Billing and Coding Departments will supply these payer specific requirements.
  • Perform limited ICD-9 and CPT-4 coding from charge slips, encounter forms, or source documentation.
  • Balance charges entered at the end of each day.
  • Assure the processing of the clinical charges is entered in order of their clinical significance to maximize reimbursement.
  • Document all medical records, which are attached to the charge document, with the date of entry and forward to the Billing Department on a daily basis.
  • Process charge documents in the Epic system and maintain minimum productivity levels.
  • Review coding and charges for accuracy and completeness.
  • Ensure Managed Care requirements are met by accessing the referral system and attaching the pre-loaded authorization to the charge being processed. Direct entry of the Managed Care referral into Cadence will be required if the authorization is attached to the charge document upon submission to the Charge Processing Department.
  • Ensure the charges for bilateral services are processed in accordance with payer specific guidelines.
  • Ensure the appropriate modifier is attached at the charge entry level for Medicare non-covered and limited coverage service and for resident participation.
  • Document all problem charges with date charge was unable to be processed, what specific information is missing, and the user initials and forward to Charge Processing Analyst for resolution.

 

Qualifications

  • High school diploma.
  • 2 years experience in registration, scheduling, insurance verification, and charge and payment posting processes within a physician office practice preferred.
  • Strong verbal, telephone and written correspondence skills.
  • Knowledgeable of medical terminology, cash collection and application, ICD-9/CPT-4 coding, and third party payor billing and reimbursement practices.


Licensure, Certifications, and Clearances:

  • Act 34

  • 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