Our team is growing and we have a variety of opportunities available for Account Representatives. If you're familiar with ICD-10 coding, have a mindset for accuracy and a knowledge base of medical billing and insurance, and are looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today!
This position will work the following shift: Monday to Friday from 7:00 a.m. to 3:30 p.m., 7:30 a.m. to 4:00 p.m., 8:00 a.m. to 4:30 p.m.
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 billing issues or denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.
Evaluate and recommend referrals to Financial Assistance.
Verify accuracy of outgoing billing claim information, denials, 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.
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.
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 and ICD10, 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:
Clearances must be dated within 90 days
Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal
UPMC is an Equal Opportunity Employer/Disability/Veteran
University Of Pittsburgh Medical Center