UPMC Hillman Cancer Center is hiring a Senior Account Representative to manage all fiscal functions necessary to ensure the prompt and correct payment of monies owed by insurers and patients. You will work within the service management philosophy of the UPMC Health System, ensuring accurate claim submission, resolving payment issues, and managing a significant book of business.
What You'll Do
- Perform duties in accordance with UPMC Health System's service management philosophy.
- Work with multiple payers to resolve payment discrepancies and verify reimbursement accuracy.
- Identify root causes of claim denials and recommend corrective actions.
- Manage an assigned book of business, ensuring timeliness and accuracy of billing, collections, payments, and adjustments.
- Evaluate accounts and recommend referrals to agencies, law firms, Financial Assistance, or Bad Debt.
- Understand third-party billing and collection guidelines.
- Demonstrate knowledge of current patient accounting system functionality.
- Identify systemic issues and submit corrective action recommendations.
- Work independently with minimal supervision.
- Meet quality assurance benchmarks and maintain defined productivity levels.
- Serve as a mentor to staff for training and procedural guidance.
What We're Looking For
- 1+ year of claims, billing, or collections experience; OR 4 years in a business office setting; OR a Bachelor's Degree; OR an equivalent combination of education and experience.
- Excellent interpersonal, organizational, communication, and problem-solving skills.
- Ability to communicate with patients, payers, agencies, and the public via phone, email, and written correspondence.
- Prior working experience with personal computers, electronic calculators, and standard office equipment.
- Must be multi-disciplined in billing, collections, denials, credit balances, and/or working with various payers.
- Strong organization and time management skills.
- Ability to develop and manage professional relationships with colleagues independently.
- Ability to maintain confidentiality with all assignments.
Nice to Have
- Prior collections or medical billing experience with a basic understanding of ICD-9, CPT-4, HCPCS, and medical terminology.
- Familiarity with third-party payer guidelines, reimbursement practices, and financial resources for patient balances.
UPMC is an Equal Opportunity Employer/Disability/Veteran.
