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 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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   Current UPMC employees must apply in HR Direct

Account Representative

  • Job ID: 073399301
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8:00AM-4:30PM, Monday-Friday
  • Shift: Day Job
  • Facility: UPMC Home Healthcare
  • Department: Billing/Ins Ver/Auth
  • Location: 300 Northepoint Circle, Seven Fields PA 16046
  • Union Position: No
  • Salary Range: $16.20 to $25.42 / hour

Description

Join the team that’s providing the highest quality of home health care in our communities. With state-of-the-art safety protocols and the support of an academic medical center, UPMC Home Health has demonstrated a continued commitment to keeping both our patients and our employees safe and healthy, especially throughout the COVID-19 pandemic.

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 individuals either get vaccinated or receive a requested medical or religious exemption by Jan. 27. For individuals who choose an mRNA vaccine, a second dose of Pfizer or Moderna must be received by Monday, Feb. 28, or within the designated timeframe after your first dose is received.

While the deadlines have passed, it’s not too late to get your first shot or request a medical or religious exemption. We each play a part in reaching 100% in our COVID-19 vaccination efforts.

  • If you previously chose not to be 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.


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.
  • Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
  • 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

Qualifications:

  • High school graduate or equivalent.
  • Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
  • Ability to communicate with patients, payors, outside agencies, and general public through telephone, electronic and written correspondence.
  • Working experience on personal computers, electronic calculators and various office equipment is needed.
  • Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
  • Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.


Licensure, Certifications, and Clearances:

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

COVID-19 Vaccination Information

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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