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UPMC Reimbursement Analyst - North Pointe Seven Fields in Seven Fields, Pennsylvania

Description

Are you a billing professional interested in building a rewarding career? This is a great position for talented candidates who are enthusiastic about using their accounting skills to make a difference in the world of health care. Join our team today!

Responsibilities:

  • Obtain and maintain current knowledge of the requirements, standards, practices, and preferences of the Agency services

  • The requirements, standards, practices, and preferences of the payers of those services

  • The computer systems used to manage reimbursement and customer records

  • Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior

  • Educate and require adherence to performance improvement processes and initiatives

  • Represent and participate in Agency professional and community activities as requested

  • Provide non-account specific support

  • Prepare bank deposits

  • Respond to customer requests for information and customer account records

  • Assist in Agency financial and program audits, as needed

  • Maintain accurate filing and record systems

  • Create regular and periodic reports as needed or requested

  • Promote personal and co-worker safety during work duties

  • Expand knowledge and expertise through educational resources and literature review

  • Maintain and protect customer and Agency confidentiality

  • Maintain personal productivity by demonstrating satisfactory attendance and punctuality

  • Prepare and submit billing statements in electronic and paper formats

  • Review billing statements for coding, pricing, and service accuracy

  • Resolve inaccuracies prior to submitting the statement, using the Billing Communication system

  • Submit accurate and timely billing statements that meet the requirements of each specific payer

  • Manage specific customer receivable accounts

  • Monitor customer account details for non-payments, delayed payments, and other irregularities

  • Initiate communication with customers and payers to:Negotiate payment plans and account adjustments

  • Resolve inaccuracies and/or provide additional information

  • Investigate and resolve issues with Agency program staff, using the Billing Communication system

  • Collaborate with Agency Accountants to investigate and resolve account issues

  • Reconcile, adjust and allowance accounts, according to Agency guidelines

  • Apply cash payments and allowances to relieve customer accounts, according to Agency procedures

Qualifications

  • Education: Associate degree preferred

  • Experience: 2-5 years in healthcare billing or collections or no experience required with a 2 or 4 year Degree

  • Computerization Skills: Proven competency in EXCEL, Microsoft Office

  • Travel: Position requires travel to various office sites, valid PA drivers' license and proof of auto liability required

Licensure, Certifications, and Clearances:

  • Act 34

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities REQNUMBER: 27137549

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