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UPMC

AR Account Specialist, Senior

Posted a day ago
2-5 years experience
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AI Summary

The Senior AR Account Specialist is responsible for recovering self-pay balances by reviewing account files and verifying insurance coverage through payer portals. They also identify root cause issues for denials and recommend corrective actions to improve billing accuracy and efficiency.

UPMC is hiring a Senior AR Account Specialist to support the Revenue Cycle Reporting department.  This position would work Monday through Friday during business hours. This role has the ability to be fully remote.

In this role, you will be responsible for recovering self-pay balances by reviewing account files daily and researching insurance coverage through payer portals. As the AR Account Specialist Senior, you will identify applicable coverage and ensure accounts are billed accurately.


Responsibilities:

  • Proficient knowledge of Microsoft Excel.
  • Ability and organization to navigate multiple screens at time
  • Ability to communicate with multiple levels of management.
  • Perform duties and job responsibilities in a fashion, which UPMC Values.
  • Verify accuracy of insurance information to patient account demographics
  • Proficient working multiple payers
  • Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. 
  • Demonstrate knowledge of the current functionality of the patient accounting system. 
  • Identify issues and submit corrective action recommendations
  • Ability to work independently with minimal supervision
  • Managed assigned book of business by ensuring the timeliness and accuracy of billing.
  • Actively engaged in process improvement for efficiency gains. Able to review complex issues, determine the root cause issue and present a solution that will result in a cost reduction most of the time.
  • Meet quality assurance benchmark standards and maintain productivity levels as defined by management.
  • Ability to perform peer to peer training.
  • Go to person for escalated accounts.


  • High school diploma or equivalent and 3 years of billing, registration or patient business services or equivalent combination of education and experience.
  • Excellent interpersonal, organizational, communication and effective problem solving skills are necessary.
  • Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence.
  • Prior working experience in billing/collections, denials, credit balances and/or various payers
  • This position requires organization and time management skills.
  • The incumbent must develop and manage relationships with colleagues in a professional, independent manner.
  • The position requires the ability to maintain confidentiality with regard to all assignments.
     

Licensure, Certifications, and Clearances:
 

  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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