Senior Medical Billing & Collections Specialist

UPMC; Washington (Washington County); On-site; USD 55,000 - 85,000; Full time

Job summary

UPMC is seeking a Senior Account Representative to oversee fiscal functions ensuring prompt payment from insurers and patients. You will verify posting accuracy, resolve payment discrepancies, and mentor staff in revenue cycle procedures.

Responsibilities include handling multiple payers, assisting in appeals, and maintaining timely billing, collections, and adjustments across assigned accounts. Strong communication and organization are essential.

Qualifications

• Must have 1 year of claims/billing/collections experience or 4 years in a business office setting.
• Excellent interpersonal, organizational and communication skills.
• Ability to work with patients, payers and staff across departments.

Responsibilities

• Submit claims accurately and timely and monitor payment posting.
• Communicate with insurers, patients, and physicians about payment issues.
• Identify root causes of denials and recommend corrective actions.
• Assist in appeal processes and follow revenue cycle policies.
• Manage a book of business ensuring timely billing and adjustments.

Skills

Coordination

Interpersonal skills

Communication

Problem solving

Independent work

Education

Bachelor's degree

Tools

Personal computers

Office equipment

Job description

UPMC is seeking a Senior Account Representative to oversee fiscal functions ensuring prompt payment from insurers and patients. You will verify posting accuracy, resolve payment discrepancies, and mentor staff in revenue cycle procedures.

Responsibilities include handling multiple payers, assisting in appeals, and maintaining timely billing, collections, and adjustments across assigned accounts. Strong communication and organization are essential.