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Account Representative - Patient Accounts - Harrisburg

Company: UPMC Senior Communities
Location: Harrisburg
Posted on: January 6, 2022

Job Description:

Description Purpose: Our team is growing, and we have a variety of opportunities available for Account Representatives. If you have a mindset for accuracy and a knowledge base of medical billing and insurance and are looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today! This position will work Monday to Friday, and post training may work a flexible schedule. The flexible schedule will be 8 consecutive hours (plus a lunch) between the timeframe of 7:00 a.m. to 5:00 p.m. Responsibilities: Understand Third Party Billing and Collection Guidelines. 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. 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. Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt. Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. Demonstrate knowledge of the current functionality of the patient accounting systems. Manage 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. Meet quality assurance, benchmark standards and maintain productivity levels as defined by management. Identify issues and submit corrective action recommendations. Qualifications 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: Clearances must be dated within 90 days. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal UPMC is an Equal Opportunity Employer/Disability/Veteran Total Rewards More than just competitive pay and benefits, UPMC's Total Rewards package cares for you in all areas of life - because we believe that you're at your best when receiving the support you need: professional, personal, financial, and more.Our Values At UPMC, we're driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.Current UPMC employees must apply in HR Direct

Keywords: UPMC Senior Communities, Harrisburg , Account Representative - Patient Accounts - Harrisburg, Other , Harrisburg, Pennsylvania

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