Medical Billing Representative

University of Pittsburgh; Pittsburgh (Allegheny County); Híbrido; USD 30.000 - 39.000; Jornada completa

Descripción de la vacante

University of Pittsburgh Student Health Services is seeking a Medical Billing Representative to review insurance claims and charges, ensuring correct coding and documentation. The role involves handling denials, auditing accounts, and supporting billing operations within a campus health services environment.

Ideal candidates will have a High School Diploma or GED and at least 1 year in medical billing or related work.

Formación

• High School Diploma or GED required.
• 1 year of experience in medical billing or related field preferred.
• Ability to handle confidential information and use billing software.

Responsabilidades

• Review medical insurance claims and charges; ensure proper diagnosis and procedure codes.
• Investigate denials and discuss records with appropriate personnel to reassign codes.
• Audit patient accounts, update insurance information, and ensure policy compliance.
• Answer inquiries about accounts, billing processes, and payment plans.
• Maintain records, update billing software and prepare collection reports.

Conocimientos

Medical billing

Claims processing

Customer service

Educación

High School Diploma/GED

Descripción del empleo

Job Description - Medical Billing Representative (26006795)

Medical Billing Representative

The University of Pittsburgh Student Health Services provides high quality primary health care, prevention, health education and pharmacy services to enhance student living and learning. Primary care services include management of both acute and chronic conditions as well as travel health and provision of gender affirming care. The Gynecological services include screening for STIs, provision of age specific screening as well as full contraceptive management. Psychiatric services include management of mood disorders as well as ADHD. Student Health Services is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC), these services uphold rigorous standards of quality and safety, promoting a healthy environment conducive to academic success.

Job Summary

Reviews medical insurance claims and medical charges and ensures appropriately assigned diagnosis code and procedure code. Investigates insurance company denials, audits patient accounts, answers inquiries for assigned accounts, and updates related billing and financial documents and software.

Essential Functions

• Reviews medical insurance claims and medical charges; ensures appropriate diagnosis code and procedure code are assigned.
• Investigates denials received from insurance company; reviews and discusses medical records with appropriate personnel; reassigns codes accordingly.
• Audits patient accounts; verifies and updates insurance information as needed; ensures accuracy and compliance with policies, procedures, and regulations.
• Answers inquiries related to assigned accounts, billing processes, and payment plans.
• Maintains records of transactions; updates billing software, cash spreadsheets, and related information; prepares collection reports and assists with data entry.

Physical Effort

Little physical effort required. Duties are primarily sedentary. May be required to move objects up to 25 pounds occasionally.

The University of Pittsburgh is an equal opportunity employer / disability / veteran.

Assignment Category Full-time regular

Job Classification Staff.Medical Billing Representative

Job Family Finance & Procurement

Job Sub-Family Medical Billing

Campus Pittsburgh

Minimum Education Level Required High School Diploma/GED

Minimum Years of Experience Required 1

Will this position accept substitution in lieu of education or experience? Combination of education and relevant experience will be considered in lieu of education and/ or experience requirement.

Work Schedule Monday - Friday, 8:30am - 5:00pm; may need to work occasional evening and weekend

Work Arrangement Hybrid: Combination of On-Campus and Remote work as determined by the department.

Hiring Range TBD Based Upon Qualifications

Relocation Offered No

Visa Sponsorship Provided No

Background Check For position finalists, employment with the University will require successful completion of a background check

Child Protection Clearances The following PA Act 153 clearances and background checks are required prior to commencement of employment and as a condition of continued employment: PA State Police Criminal Record Check, FBI Criminal Record Check, PA Child Abuse History Clearance.

The University of Pittsburgh is an equal opportunity employer / disability / veteran.