Account Representative

6 days ago


Mars, Pennsylvania, United States UPMC Full time
Job Title: Account Representative

UPMC Home Health is seeking a highly skilled Account Representative to join its team. This is a full-time position working Monday-Friday with daylight hours in Seven Fields, PA. The ideal candidate will have excellent communication and problem-solving skills, as well as a strong understanding of medical billing and insurance claims processing.

Key Responsibilities:
  • Manage all fiscal functions necessary to ensure prompt and correct payment to the hospital of all monies owed to the provider by insurers and patients.
  • Ensure claims are submitted accurately and timely, communicate with insurance companies, patients, and physicians regarding payment issues, establish reasonable payment arrangements, and recommend adjustments according to UPMC policies.
  • Review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.
  • Identify and assign appropriate status codes.
Requirements:
  • High school graduate or equivalent.
  • Excellent interpersonal, organizational, communication, and effective problem-solving skills.
  • 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.


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