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UPMC · 18 hours ago

AR Account Specialist

Pittsburgh, PA

Full-time

Onsite

Entry, Mid Level

2+ years exp

UPMC is a healthcare provider committed to ensuring the prompt and correct payment to providers. The AR Account Specialist will manage fiscal functions related to billing and collections, communicate with various stakeholders regarding payment issues, and ensure compliance with regulations.

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Responsibilities

Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt

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

Demonstrate knowledge of the current functionality of the patient accounting system

Ability to perform peer to peer training

Identify issues and submit corrective action recommendations

Verify accuracy of payment posting and reimbursement

Work with appropriate payer and/or department to resolve any payment discrepancies

Ability to understand complex reimbursement issues

Proficient working multiple disciplines

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

Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution

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

Ability to work independently with minimal supervision

Understand third party billing and collection guidelines

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

Qualification

Healthcare billing experienceThird party billing knowledgeMedical terminology knowledgePatient accounting system knowledgeComputer skillsPeer training abilityProcess improvement engagementIndependent work ability

Required

HS/Equivalent and 2 years of healthcare billing, registration, or patient business services or 5 years experience in a business office setting OR BS and 1 year experience in a business office setting OR equivalent combination of education and experience required

Knowledge of medical terminology, third party payor guidelines and reimbursement practices, and available financial resources for payment of balances due

Good computer skills, including spreadsheet application and word processing