Account Representative- (Full-Time)

Exciting Adventure In Healthcare Billing

Ready for an exciting adventure in the world of healthcare billing? In our dynamic business office, you'll play a crucial role in managing patient accounts, collaborate with our enthusiastic team, and thrive in a supportive, family-like atmosphere! If you're detail-oriented and passionate about making a difference, apply today!

Responsibilities :

• 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.
• Ability to work multiple payers
• Verify accuracy of payment posting and reimbursement. Work with appropriate payer and / or department to resolve any payment discrepancies.
• 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.
• Managed 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.
• Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt.
• Understand third party billing and collection guidelines
• Demonstrate knowledge of the current functionality of the patient accounting systems.
• Identify issues and submit corrective action recommendations.
• Meet quality assurance benchmark standards and maintain productivity levels as defined by management.

Shift : This position will work Monday-Friday, 7 : 30 am to 4 pm.

Qualifications :

Licensure, Certifications, and Clearances :

UPMC is an Equal Opportunity Employer / Disability / Veteran