Senior Account Representative

3 weeks ago


MD United States UPMC WESTERN MARYLAND HEALTH SERVICES, LLC Full time
Job Summary

The Senior Account Representative is responsible for ensuring the prompt and accurate payment to the hospital of all monies owed by both insurers and patients. This role requires strong communication and problem-solving skills to resolve payment issues with insurance companies, patients, and physicians.

Key Responsibilities
  • Submit claims accurately and timely
  • Communicate with payers, patients, and physicians regarding payment issues
  • Establish reasonable payment arrangements
  • Recommend adjustments according to UPMC policies
  • Review payment and denial transactions for accuracy
  • Identify and assign appropriate status codes
  • Review high-dollar accounts on a regular basis
Requirements
  • 1 year of claims/billing/collections experience
  • 4 years in a business office setting
  • Bachelor's Degree
  • Equivalent combination of education and experience
Preferred Qualifications
  • Prior collections or medical billing experience
  • Basic understanding of ICD9, CPT4, HCPCS, and medical terminology
  • Familiarity with third-party payer guidelines and reimbursement practices
What We Offer

UPMC is an Equal Opportunity Employer/Disability/Veteran. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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