Account Representative

3 hours ago


New York, New York, United States UPMC Full time
{"title": "Account Representative", "description": "Job Summary

The Account Representative will play a critical role in ensuring the prompt and accurate payment of monies owed to UPMC Western Behavioral Health at Safe Harbor. This position requires strong communication and organizational skills, as well as a basic understanding of billing and collection guidelines.

Key Responsibilities
  • Manage all fiscal functions necessary to ensure timely and accurate payment to the hospital of all monies owed to the provider by insurers and patients.
  • Communicate with insurance companies, patients, and physicians regarding payment issues and establish reasonable payment arrangements.
  • Review and post payment/denial and adjustment transactions necessary for closing accounts and identify and assign appropriate status codes.
  • Assist in claim appeals and follow-up, and recommend financial assistance and bad debt referrals.
  • Verify and resolve payment discrepancies and manage billing and collections for accounts.
  • Meet quality and productivity standards and adhere to UPMC's service philosophy.
Requirements
  • High school graduate or equivalent.
  • Ability to communicate with patients, payors, outside agencies, and the general public through telephone, electronic, and written correspondence.
  • Working experience on personal computers, electronic calculators, and various office equipment.
  • Collections or medical billing experience with a basic understanding of ICD9, 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.
Certifications and Clearances
  • Comprehensive Crisis Management (CCMC).
  • Act 31 Child Abuse Reporting with renewal.
  • Act 33 with renewal.
  • Act 34 with renewal.
  • Act 73 FBI Clearance with renewal.

UPMC is an Equal Opportunity Employer/Disability/Veteran.

", "lang_code": "en"}

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