Account Representative Sr- Hybrid Schedule

UPMC • Coudersport, PA • 1h ago

Purpose:

The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies, patients and physicians regarding payment issues; establish reasonable payment arrangements; recommend adjustments according to UPMC policies; review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts; identify and assign appropriate status codes; and review high dollar accounts on a regular basis. The Account Representative, Senior is expected to identify recurring problems and procedural deficiencies that need to be reported to management and to serve as a key mentor to staff for training and procedural direction.

Responsibilities:

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.

Ability to work multiple payers

Verify accuracy of payment posting and reimbursement.

Work with appropriate payer and/or department to resolve any payment discrepancies.

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.

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.

Understand third party billing and collection guidelines

Demonstrate knowledge of the current functionality of the patient accounting systems.

Identify issues and submit corrective action recommendations.

Ability to work independently with minimal supervision

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

Must have 1 year of claims/billing/collections experience; OR 4 years in a business office setting; OR a Bachelors Degree; OR an 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 on personal computers, electronic calculators and office equipment is needed.

Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers.

Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.

Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial.

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

Share this job

Similar Jobs

Licensed Practical Nurse Charge Nurse

Highland Park Rehabilitation & Nursing Center • Wellsville, NY • 5d ago

Hospital & Medical

Shift: LPN Per Diem (Casual, as needed) Highland Park is looking for a dedicated and compassionate Licensed Practical Nurse (LPN) to join our team as a Charge Nurse. As a Charge Nurse, you will play a crucial role in pro...

5d ago

Go to Apply

Security Guard

Aerotek • Galeton, PA • 1w ago

NOW HIRING: Security Guard - $16.50 Location: Waterville, PA Pay Rate: $16.50 per hour Shift Options: 6:00 AM - 6:00 PM (Day Shift) 6:00 PM - 6:00 AM (Night Shift) Schedule Employees work (3) 12-hour shifts in a row Sche...

1w ago

Go to Apply

Part Time Home Care Office Coordinator

Arcadia Homecare & Staffing / County HomeMakers Inc (Potter) • Coudersport, PA • 2w ago

Management & Administrative

Position Summary: This position will coordinate administrative, business and other operational activities in the office by performing the following duties: maintaining solid and consistent communication with branch leade...

2w ago

Go to Apply

Human Resources Manager

LC Whitford • Wellsville, NY • 2w ago

Management & Administrative

The L.C. Whitford Co. Human Resources Manager Wage: $65,000 to $85,000 yearly Summary/Objective: The Human Resources Manager will perform administrative tasks and services to facilitate human resource processes at all bu...

2w ago

Go to Apply

Entry Level Labor Pool

Ardagh Glass Inc • Port Allegany, PA • 2w ago

Role description: The Entry Level Labor Pool monitors the inspection and carton equipment, and reports defects or jams to applicable supervisor. This involves cleaning equipment and general housekeeping duties to keep th...

2w ago

Go to Apply

Licensed Practical Nurse

Sena Kean SNF Operations LLC • Smethport, PA • 2w ago

Hospital & Medical

DESCRIPTION Licensed Practical Nurse (LPN) -- All Shifts Location: Sena Kean Manor Nursing & Rehab Job Types: Full-Time | Part-Time | Per Diem Shifts: Evening Overnight New Grads Welcome | Walk-In Interviews Accepted...

2w ago

Go to Apply

Certified Nursing Assistant

Sena Kean SNF Operations LLC • Smethport, PA • 2w ago

Hospital & Medical

DESCRIPTION Certified Nursing Assistant (CNA) -- Full-Time, Part-Time, Per Diem | All Shifts Available Sena Kean Manor Nursing and Rehab Location: Smethport, PA Schedule Options: Day, Evening, and Overnight (8- or 12-hou...

2w ago

Go to Apply

Registered Nurse

Sena Kean SNF Operations LLC • Smethport, PA • 2w ago

Hospital & Medical

DESCRIPTION RN Supervisor (Registered Nurse) -- Shifts: (6 PM -- 6 AM or 6 AM - 6 PM) 8 hour shifts available as well Sena Kean Manor Nursing and Rehab | Smethport, PA About Us Sena Kean Manor is a skilled nursing facili...

2w ago

Go to Apply

Summer Manufacturing Engineering Intern

Ardagh Glass Inc • Port Allegany, PA • 2w ago

IT & Engineering

Ro le description: The Project Lead the Way (PLTW) internship program is a unique initiative to equip our future engineers and plant leaders within the company with the experiences and skills to make them successful with...

2w ago

Go to Apply

Hotel Housekeeper

Indus Hospitality Group • Wellsville, NY • 3w ago

Retail & Hospitality

Hotel Housekeeper Wellsville, NY ( http://maps.google.com/maps?q=30+W.+Dyke+St.+Wellsville+NY+USA+14895 ) Job Type Part-time Description Summary The Hotel Housekeeper is responsible for maintaining the cleanliness, order...

3w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)