Account Representative

UPMC • Mckeesport, PA • 19h ago

UPMC is hiring an Account Representative to support Western Behavioral Health at Mon Yough.

The Account Representative will manage all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed to the provider by insurers and patients. The incumbent will 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. They will also review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts as well as identify and assign appropriate status codes.

The shift for this position is Monday - Friday 6:00 a.m. to 2:30 p.m. This role is based in McKeesport with the potential for remote work after 6 months. The incumbent will join a strong team of experienced billers who support Mon Yough and Behavioral Health of the Alleghenies. Prior billing experience is preferred.

· Third Party Billing and Collection: Understand guidelines, identify root causes of denials, recommend corrective actions, assist in claim appeals, and follow-up per Revenue Cycle policies.

· Service Excellence: Perform duties in line with UPMC Health System's service management philosophy, demonstrating excellence towards all stakeholders.

· Referrals and Financial Assistance: Evaluate and recommend referrals to agencies, law firms, Financial Assistance, and Bad Debt.

· Payment Accuracy: Verify payment posting and reimbursement accuracy, resolve discrepancies with payers or departments.

· Patient Accounting Systems: Demonstrate knowledge of current functionality.

· Business Management: Ensure timely and accurate billing, collections, postings, payments, and adjustments.

· Quality and Productivity: Meet quality assurance and benchmark standards, maintain productivity levels.

· Corrective Actions: Identify issues and recommend corrective actions.

· High school graduate or equivalent.

· Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary.

· Ability to communicate with patients, payors, outside agencies, and general public through telephone, electronic and written correspondence.

· Working experience on personal computers, electronic calculators and various office equipment is needed.

· Collections or medical billing experience with 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.

Licensure, Certifications, and Clearances:

· Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC

Go to Apply

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