Claims Payable Analyst, Associate

UPMC Health Plan; Pittsburgh (Allegheny County); Hybrid; USD 28,000 - 41,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

UPMC Health Plan is seeking a Claims Payable Analyst, Assoc, to ensure accurate and timely processing of claims payable, funding, and related adjustments. The role is based in Pittsburgh with a hybrid schedule and two in-office days weekly.

The successful candidate will collaborate with supervisors and management to resolve issues, participate in audits, and support special projects within Corporate Finance.

Qualifications

• High School diploma or GED required.
• Bachelor's degree preferred in Accounting/Finance or related field.
• Experience with health insurance claims/payables preferred.
• Proficiency with Excel and Word required.

Responsibilities

• Adjust claims to reflect refunded and voided checks, including subrogation adjustments.
• Interface with internal and external customers to resolve inquiries.
• Assist project teams and workgroups.
• Gain understanding of all Claims Payable; work with logs and mail.
• Assist in internal/external audits.
• Perform other duties as assigned.

Skills

Communication

Organization

Multitasking

Excel

Word

Health insurance knowledge

Education

High School diploma or GED

Bachelor's Degree in Accounting/Finance or related field

Tools

Integrated operating system

Job description

Claims Payable Analyst, Assoc - (8212497214)

Primary Location: USA-PA-Pittsburgh

Work Locations: US Steel Tower 600 Grant St 15219

Business Unit: Corporate Finance Schedule: Regular - Full-Time Shift: Day Job

Hybrid position with two days per week in office and a flexible starting time of 6 am - 9 am.

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.

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.

Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Union: No

Salary Range: 19.80 - 30.40