Senior Account Representative

23 hours ago


Pittsburgh PA USA, United States UPMC Full time
Job Summary

The Senior Account Representative is a key member of the UPMC Health System team, responsible for ensuring the prompt and accurate payment of all monies owed by insurers and patients. This role requires strong analytical and communication skills, as well as the ability to work independently with minimal supervision.

Key Responsibilities
  • Claims Submission and Management: Ensure claims are submitted accurately and timely, and communicate with insurance companies, patients, and physicians regarding payment issues.
  • Payment Arrangements: Establish reasonable payment arrangements and recommend adjustments according to UPMC policies.
  • Transaction Review: Review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts.
  • Status Code Assignment: Identify and assign appropriate status codes.
  • High-Dollar Account Review: Review high-dollar accounts on a regular basis to identify recurring problems and procedural deficiencies.
Requirements
  • Experience: 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.
  • Skills: Excellent interpersonal, organizational, communication, and problem-solving skills are necessary. Ability to work multiple payers and understand third-party billing and collection guidelines.
  • Education: Prior working experience on personal computers, electronic calculators, and office equipment is needed. Familiarity with ICD9, CPT4, HCPCS, and medical terminology is preferred.
Working Conditions

This position is a work-from-home opportunity after training and individual performance evaluation. The incumbent must develop and manage relationships with colleagues in a professional, independent manner and maintain confidentiality with regard to all assignments.


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