Harrisburg, PA, 17108, USA
5 days ago
AR Account Specialist, Sr.- Central PA
**Purpose:** Responsible for recovery of self-pay balances due. Communicates with patients and outside agencies regarding payment issues. Establishes reasonable payment arrangements, determines charity eligibility, and recommends write-offs according to UPMC Cancer Center policies. **Responsibilities:** + Ability to perform peer to peer training + Go to person for escalated accounts. + Advanced knowledge of Microsoft Office. + Ability to communicate with multiple levels of management + 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. + Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. + Understand third party billing and collection guidelines + Proficient working multiple payers + 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. + Demonstrate knowledge of the current functionality of the patient accounting system. + Identify issues and submit corrective action recommendations + Ability to work independently with minimal supervision + Ability to understand complex reimbursement issues + 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 + Actively engaged in process improvement for efficiency gains. + Able to review complex issues, determine the root cause issue and present a solution that will result in a cost reduction the majority of the time. + Meet quality assurance benchmark standards and maintain productivity levels as defined by management. + High school diploma or equivalent and 3 years of billing, registration or patient business services or 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 in billing/collections, denials, credit balances and/or various payers + 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**
Confirm your E-mail: Send Email