AR Account Specialist, Sr.- Central PA
UPMC
**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**
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