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UPMC · 1 day ago

Account Representative Sr

Pittsburgh, PA

Full-time

Onsite

Mid, Senior Level

1+ years exp

UPMC is a healthcare provider, and they are seeking a Senior Account Representative responsible for ensuring prompt and correct payment to the hospital. The role involves managing billing and collections, resolving payment discrepancies, and mentoring staff in procedural direction.

BiotechnologyHealth CareHospitalMedical

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

Ability to work independently with minimal supervision

Meet quality assurance benchmark standards and maintain productivity levels as defined by management

Must have 1 year of claims/billing/collections experience; OR 4 years in a business office setting; OR a Bachelor's Degree; OR an equivalent combination of education and experience

Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary

Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence

Prior working experience on personal computers, electronic calculators and office equipment is needed

Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers

Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred

Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial

This position requires organization and time management skills

The incumbent must develop and manage relationships with colleagues in a professional, independent manner

The position requires the ability to maintain confidentiality with regard to all assignments

Qualification

Claims submissionPayment posting accuracyBillingCollectionsICD9CPT4HCPCS knowledgeThird party billingInterpersonal skillsOrganizational skillsCommunication skillsProblem-solving skillsTime management

Required