Claims Payable Analyst, Assoc

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 52,000 - 76,000; Full time

Job summary

UPMC in Pittsburgh, PA is seeking an Associate Claims Payable Analyst to ensure accurate and timely processing of Claims Payable Reports, payables, funding, refund adjustments, and related tasks. The role involves interfacing with managers and auditors in a hybrid on-site/remote arrangement.

Candidates should have a high school diploma (bachelors preferred) and experience with Excel and Word, plus knowledge of health insurance products; strong communication and organizational skills are

Qualifications

• Minimum of a High School diploma or GED.
• Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred.
• Insurance claims and/or claims payable billing experience preferred.
• Competency in utilizing and understanding an integrated operating system is required.
• Demonstrate professionalism, enthusiasm and initiative daily, as well as the ability to handle multiple tasks.
• Excellent communication and organization skills with the ability to represent the department on workgroups and/or projects.
• Excellent understanding of health insurance products.
• Competency in Excel and Word experience required.

Responsibilities

• Adjust claims to reflect refunded checks and voided checks, including subrogation adjustments.
• Interface with internal and external customers to assure resolution of inquiries and concerns.
• Assist project teams and workgroups.
• Gain an understanding of all Claims Payable.
• Work cut logs and return mail.
• Assist in internal/external audits.
• Perform any other duties as assigned. Performs in accordance with system-wide competencies/behaviors. Learns and adheres to policies and procedures.

Skills

Communication

Organization

Health insurance knowledge

Professionalism

Education

Bachelor's degree in Business Administration - Accounting, Finance or related field

High School diploma or GED

Tools

Excel

Word

Job description

Purpose:

The function of the Associate Claims Payable Analyst is to ensure all Claims Payable Reports, Payables and Funding are completed accurately and timely. This includes, but is not limited to, funding, payables, refund adjustments, check voids, negative balance reporting and adjustments, and subrogation adjustments. They will work closely with their Supervisor and Management to maintain efficient production within the department and assist in identifying and resolving issues in a proactive and timely manner. They will handle minimal reconciliation issues and interact with other departments on resolving issues. Their role may involve system testing and working with internal/external auditors. This position will be based out of The US Steel Tower in Pittsburgh, PA and follows a hybrid work model, with a combination of on‑site and remote work. Specific in‑office expectations will be discussed during the interview process.

Responsibilities:

• Perform any other duties as assigned. Performs in accordance with system-wide competencies/behaviors. Learns and adheres to policies and procedures.
• Adjust claims to reflect refunded checks and voided checks, including subrogation adjustments.
• Interface with internal and external customers to assure resolution of inquiries and concerns.
• Assist project teams and workgroups.
• Gain an understanding of all Claims Payable.
• Work cut logs and return mail.
• Assist in internal/external audits.
• Minimum of a High School diploma or GED.
• Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred.
• Insurance claims and/or claims payable billing experience preferred.
• Competency in utilizing and understanding an integrated operating system is required.
• Demonstrate professionalism, enthusiasm and initiative daily, as well as the ability to handle multiple tasks.
• Excellent communication and organization skills with the ability to represent the department on workgroups and/or projects.
• Excellent understanding of health insurance products.
• Competency in Excel and Word experience required.

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran