Payment Application Specialist II - CCP Wexford Hybrid

Are you passionate about helping kids be their best selves?

Join our team of Life Changers!

UPMC Children's Community Pediatrics is hiring a Full-Time Payment Applications Specialist II to support the office in Wexford.

Prior pediatric office experience strongly preferred.

Excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today!

Purpose:

Responsible for the posting and balancing of payment and adjustment transactions including electronic processes. Responsible for posting denials, patient and insurance refunds.

Responsibilities:

• Adhere to Human Resource policies and procedures.

• Responsible for entering self-pay, insurance, and manual exception payments into the Epic billing system.

• Perform batch audits.

• Review manually posted payments and adjustments for accuracy.

• Responsible for entering payments/non-payment denials into the Epic billing system.

• Responsible for meeting departmental goals on a daily basis.

• Process third-party reimbursements with guidelines set forth in the department. Initiate the refund process to ensure timely return of misdirected revenue.

• Provide back up support for other staff members who perform various departmental functions.

• Process reimbursements to multiple billing systems and automated systems as required.

Qualifications:

• 3 years experience in a physician office or hospital business unit preferred.

• Must have experience in business functions such as registration, billing, payment posting and collections.

• Must have experience with medical terminology and reimbursement practices.

• Microsoft Word and Excel (or an equivalent package) and various office equipment.

• Must demonstrate strong interpersonal and communications skills.

• Must be able to work independently and as a team member. Must be able to meet departmental quotas on an ongoing basis.

• High school diploma or GED with three years experience is required.

• Bachelor's Degree in Healthcare or business field is preferred.

Licensure, Certifications, and Clearances:

• Act 34 with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran