AR Account Specialist, Sr.- Central PA

UPMC • Pittsburgh, PA • 20h ago

Purpose:

Responsible for recovery of self-pay balances due. Communicates with patients and outside agencies regarding payment issues. Establishes reasonable payment arrangements, determines charity eligibility, and recommends write-offs according to UPMC Cancer Center policies.

Responsibilities:

Ability to perform peer to peer training

Go to person for escalated accounts

Advanced knowledge of Microsoft Office

Ability to communicate with multiple levels of management

Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of

The Basics of Service Excellence? towards patients, visitors, staff, peers, physicians and other departments within the organization.

Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.

Understand third party billing and collection guidelines

Proficient working multiple payers

Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.

Demonstrate knowledge of the current functionality of the patient accounting system

Identify issues and submit corrective action recommendations

Ability to work independently with minimal supervision

Ability to understand complex reimbursement issues

Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.

Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt

Actively engaged in process improvement for efficiency gains.

Able to review complex issues, determine the root cause issue and present a solution that will result in a cost reduction the majority of the time.

Meet quality assurance benchmark standards and maintain productivity levels as defined by management.

High school diploma or equivalent and 3 years of billing, registration or patient business services or equivalent combination of education and experience

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

Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence

Prior working experience in billing/collections, denials, credit balances and/or various payers

This position requires organization and time management skills

The incumbent must develop and manage relationships with colleagues in a professional, independent manner

The position requires the ability to maintain confidentiality with regard to all assignments. Licensure, Certifications, and Clearances:

Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC

Go to Apply

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