Account Representative Sr

UPMC; Williamsport (Lycoming County); On-site; USD 50,000 - 70,000; Full time

Job summary

UPMC recherche un Account Representative, Senior, pour gérer les fonctions fiscales liées aux paiements des assureurs et des patients. Ce poste est essentiel pour assurer le bon déroulement du cycle de revenus, traiter les problèmes de paiement, et former le personnel sur les procédures. Le candidat retenu travaillera de manière autonome tout en répondant aux exigences de qualité et de productivité à l'intérieur de l'organisation.

Qualifications

• Expérience dans la gestion de comptes à recevrer ou facturation dans un environnement de soins de santé.
• Compréhension des directives de facturation et de collecte des tiers.
• Capacité à travailler avec plusieurs payeurs et à résoudre les problèmes de paiement.

Responsibilities

• Soumettre des réclamations avec précision et en temps voulu.
• Gérer le portefeuille assigné et veiller à l'exactitude des factures.
• Identifier les problèmes récurrents et recommander des actions correctives.

Skills

Communication

Résolution de problèmes

Précision

Indépendance

Connaissance des systèmes de comptabilité des patients

Education

Diplôme associé ou licence en administration des affaires ou domaine connexe

Job description

Job Summary:
The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies, patients and physicians regarding payment issues; establish reasonable payment arrangements; recommend adjustments according to UPMC policies; review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts; identify and assign appropriate status codes; and review high dollar accounts on a regular basis. The Account Representative, Senior is expected to identify recurring problems and procedural deficiencies that need to be reported to management and to serve as a key mentor to staff for training and procedural direction.

Responsibilities:

• 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.
• Ability to work multiple payers
• Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies.
• 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.
• 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.
• Understand third party billing and collection guidelines
• Demonstrate knowledge of the current functionality of the patient accounting systems.
• Identify issues and submit corrective action recommendations.
• Ability to work independently with minimal supervision
• Meet quality assurance benchmark standards and maintain productivity levels as defined by management.