AR Account Specialist, Senior

UPMC•Pittsburgh, PA

3d•Remote

About The Position

UPMC is hiring a Senior AR Account Specialist to support the Revenue Cycle Reporting department. This role can be fully remote and works Monday through Friday during business hours. The specialist recovers self-pay balances by reviewing account files daily and researching insurance coverage through payer portals. The role identifies applicable coverage and ensures accounts are billed accurately.

Requirements

High school diploma or equivalent, and three years of billing, registration, or patient business services experience, or an equivalent combination of education and experience.
Excellent interpersonal, organizational, communication, and problem-solving skills.
Proficiency in Microsoft Excel.
Ability to navigate multiple screens simultaneously.
Prior experience in billing or collections, denials, credit balances, and/or working with various payers.
Strong organization and time-management skills.
Ability to work independently with minimal supervision.
Ability to maintain confidentiality with regard to all assignments.
Act 34 clearance.

Responsibilities

Verify the accuracy of insurance information against patient account demographics.
Work proficiently with multiple payers and research insurance coverage through payer portals.
Manage an assigned book of business, ensuring timely and accurate billing.
Identify root causes of denials and other account issues, and recommend corrective actions to prevent recurrence.
Identify issues and submit corrective action recommendations.
Use knowledge of current patient accounting system functionality.
Review complex issues, determine root causes, and present solutions that generally result in cost reductions.
Participate in process improvements to increase efficiency.
Meet quality assurance benchmarks and maintain productivity levels defined by management.
Provide peer-to-peer training.
Serve as the go-to person for escalated accounts.
Communicate with patients, payers, outside agencies, the general public, and multiple levels of management by telephone, electronically, and in writing.
Maintain confidentiality and develop professional relationships with colleagues.