AR Account Specialist- (Full-Time)

UPMC • Washington, PA • 2d ago

Description:

An Accounts Receivable (AR) Account Specialist in a hospital offers the opportunity to make a meaningful impact by ensuring the financial stability that supports patient care. In this role, you'll gain valuable experience working with both patients and insurance providers, while developing expertise in healthcare finance and revenue cycle management. Candidates are drawn to this position because it combines professional growth with the rewarding mission of helping a hospital deliver quality care to its community.

Responsibilities:

Evaluate accounts and recommend referrals to agencies, legal counsel, financial assistance, or bad debt.

Maintain productivity and meet quality assurance benchmarks set by management.

Demonstrate proficiency in the hospital's patient accounting system and its current functionality.

Provide peer-to-peer training and support to team members.

Identify issues and recommend corrective actions to improve processes and outcomes.

Verify payment postings and reimbursements, resolving discrepancies with payers or departments.

Analyze and interpret complex reimbursement issues across multiple disciplines.

Investigate root causes of claim denials, recommend solutions, and assist with appeals and follow-up.

Manage assigned accounts by ensuring timely and accurate billing, collections, postings, payments, and adjustments.

Uphold service excellence standards in all interactions with patients, staff, physicians, and departments.

Schedule: This position with work Monday-Friday either 7:30AM-4PM or 8AM-4:30PM, in-person. May be subject to other days/shifts based on hospital needs.

HS/Equivalent and 2 years of healthcare billing, registration, or patient business services or 5 years experience in a business office setting OR BS and 1 year experience in a business office setting OR equivalent combination of education and experience required

Knowledge of medical terminology, third party payor guidelines and reimbursement practices, and available financial resources for payment of balances due.

Good computer skills, including spreadsheet application and word processing.

Licensure, Certifications, and Clearances:

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

UPMC

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