Medical Billing Representative - Pittsburgh, PA

Job Description

On behalf of VetJobs / MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is open to Veterans, Transitioning Military, National Guard Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow for next steps.

The University of Pittsburgh Student Health Services (SHS) is a comprehensive, AAAHC-accredited healthcare facility dedicated to advancing student wellness, academic success, and lifelong health. SHS provides high-quality, evidence-based primary care, prevention, health education, and pharmacy services tailored to the unique needs of the student population.

Clinical Services

Primary Care : Diagnosis and management of acute illnesses, injuries, and chronic conditions; travel health consultations; and gender-affirming care.

Gynecological Services : STI testing and treatment, age-specific preventive screenings, and full contraceptive management.

Psychiatric Services : Evaluation and treatment of mood disorders, ADHD, and related mental health conditions, coordinated with counseling and academic support services.

Pharmacy Services : On-site dispensing, medication counseling, and support for adherence to treatment plans.

Preferred Education and Experience for Medical Biller

Associate's degree in healthcare administration, business, or a related field (Bachelor's preferred).

At least 2 years of medical billing and coding experience in a healthcare or ambulatory care setting.

Familiarity with electronic health records (EHR) and practice management systems, preferably Medicat or comparable university health software.

Knowledge of insurance verification, claims submission, payment posting, and denial management.

Experience with CPT, ICD-10, and HCPCS coding, with Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) credentials preferred.

Strong understanding of compliance requirements, including HIPAA and payer-specific guidelines.

Excellent communication, organizational, and problem-solving skills, with a focus on accuracy and customer service in a student-centered environment.

Job Summary

Reviews medical insurance claims and medical charges and ensures appropriately assigned diagnosis code and procedure code. Investigates insurance company denials, audits patient accounts, answers inquiries for assigned accounts, and updates related billing and financial documents and software.

Essential Functions

• Reviews medical insurance claims and medical charges; ensures appropriate diagnosis code and procedure code are assigned.
• Investigates denials received from insurance company; reviews and discusses medical records with appropriate personnel; reassigns codes accordingly.
• Audits patient accounts; verifies and updates insurance information as needed; ensures accuracy and compliance with policies, procedures, and regulations.
• Answers inquiries related to assigned accounts, billing processes, and payment plans.
• Maintains records of transactions; updates billing software, cash spreadsheets, and related information; prepares collection reports and assists with data entry.

Physical Effort

Little physical effort required. Duties are primarily sedentary. May be required to move objects up to 25 pounds occasionally.

The University of Pittsburgh is an equal opportunity employer / disability / veteran.

Assignment Category Full-time regular

Job Classification Staff.Medical Billing Representative

Job Family Finance & Procurement

Job Sub-Family Medical Billing

Campus Pittsburgh

Minimum Education Level Required High School Diploma / GED

Minimum Years of Experience Required 1

Will this position accept substitution in lieu of education or experience? Combination of education and relevant experience will be considered in lieu of education and / or experience requirement.

Work Schedule Monday - Friday, 8 : 30am - 5 : 00pm; may need to work occasional evening

Work Arrangement Hybrid : Combination of On-Campus and Remote work as determined by the department.

Hiring Range TBD Based Upon Qualifications

Relocation Offered No

Visa Sponsorship Provided No

Background Check For position finalists, employment with the University will require successful completion of a background check

Child Protection Clearances The following PA Act 153 clearances and background checks are required prior to commencement of employment and as a condition of continued employment : PA State Police Criminal Record Check, FBI Criminal Record Check, PA Child Abuse History Clearance.

Required Documents Resume

Optional Documents Not Applicable