Billing Specialist
Company: UPMC
Location: Jamestown
Posted on: April 6, 2021
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Job Description:
Description UPMC GLPP is currently hiring a Billing Specialist
II to join their team! This position will work Monday through
Friday 8 a.m. to 4:30 p.m. This position will work from home 100%
remotely. Purpose: Accurately prepares, submits and follows up on
all patient claims to various third party payers and/or designated
agencies. Analyzes accounts receivable reimbursements, monitors
trends and utilizes in-depth problem solving techniques to resolve
issues. Responsibilities: + Required to do claims follow up and
analysis, reviewing inquiries, correcting claims as appropriate and
resubmission of claims for payment. Billing Specialist is expected
to complete their work files through PCS and follow up on all
outstanding claims which have not be processed or are in need of
appeal. + Do initial billing through submission of claims to the
appropriate third party payers, through electronic process or hard
copy mailing, according to the established deadlines and
requirements of the payer. When it is necessary request system
changes due to changing billing requirements or system problems
working in conjunction with supervisor + Responsible for recording
all action taken on the account in the notes field in the computer
system. Responsible for maintaining the integrity of the billing
file and all pertinent records and the accurate account adjustments
with related documentation. + Demonstrates the ability to meet the
needs of both the customer and co-workers in a caring, competent
manner acting as an information resource to others. Coordinates the
flow of communication regarding any third party payer updates
and/or changes between other Billing Specialists, Team Leader,
Supervisors, Director, Physician Practice Staff and other
Departments. Accurately prioritizes information and refers it to
appropriate personnel. Maintains confidentiality with respect to
any and all information learned through performing this role. +
Accepts responsibility for personal and professional growth.
Attends department meetings (unless otherwise excused).
Participates in RHMS and/or Hamot activities and inservices.
Maintains documentation of attendance of annual training, mandatory
education and age specific criteria. Arrives at workstation ready
to work at scheduled time, i.e., start of shift, breaks, lunch,
etc. Qualifications + High-school Diploma or equivalent required. +
Three years previous billing/accounts receivable experience in
Healthcare facility or Physician office setting. + One year of
in-depth accounts receivable analysis Knowledge in medical
terminology, ICD-9/10 and CPT coding. + Operating knowledge of
basic business office equipment. Demonstrated proficiency in
working on computer system. IDX knowledge preferred. Must have
knowledge of use of Microsoft Excel and WordWork requires
interpersonal skills to effectively communicate with a wide range
of people, exchange information on factual matters, understand and
transmit instructions. + Interactions require good customer service
skills and basic common courtesy. Licensure, Certifications, and
Clearances: UPMC is an Equal Opportunity
Employer/Disability/Veteran REQNUMBER: 504010314
Keywords: UPMC, Erie , Billing Specialist, Accounting, Auditing , Jamestown, Pennsylvania
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