Senior Revenue Cycle Specialist - Hospital Billing

UPMC; Pittsburgh (Allegheny County); On-site; USD 52,000 - 70,000; Full time

Job summary

UPMC seeks a Senior Account Representative to manage fiscal functions for hospital payments from insurers and patients. The role emphasizes accurate claim submission, prompt resolution of payment issues, and establishing payment plans under UPMC policies.

The position requires experience in claims/billing/collections, strong communication, and the ability to mentor staff while maintaining confidentiality and high-quality service standards.

Qualifications

• Excellent interpersonal, organizational, communication and problem solving skills are necessary.
• Must have strong communication with patients, payers, outside agencies, and general public.
• Ability to work independently with minimal supervision and manage multiple tasks.

Responsibilities

• Submit and ensure accuracy of claims, billing, and collections to maximize timely payments.
• Communicate with insurers, patients, and physicians regarding payment issues and resolutions.
• Establish reasonable payment arrangements and recommend adjustments per policy.
• Review postings, balancing, denials, and adjustments for closing accounts.
• Identify recurring problems and report procedural deficiencies to management.

Skills

Interpersonal skills

Organizational skills

Communication skills

Problem solving

Education

Bachelor's degree

Job description

UPMC seeks a Senior Account Representative to manage fiscal functions for hospital payments from insurers and patients. The role emphasizes accurate claim submission, prompt resolution of payment issues, and establishing payment plans under UPMC policies.

The position requires experience in claims/billing/collections, strong communication, and the ability to mentor staff while maintaining confidentiality and high-quality service standards.