UPMC Rx Partners is looking for a full time Account Representative II, to join their dedicated team! You will manage all fiscal functions necessary to ensure the prompt and correct payment of all monies owed by both insurers and patients. This role will work 9 am to 5:30 pm, Monday through Friday. UPMC offers a generous benefits package, an expansive total rewards package, opportunity to grow your career and much more. Apply today! **Responsibilities:** + Review billing edit report to identify and perform data edits needed to ensure that claims are submitted to the correct payer and that all required information is included. + Monitor top 10 high dollar accounts per financial class as assigned. + Prepare adjustments that are necessary to change existing accounts receivable to update patient information. + Post, reconcile, mail and file all refunds that are created. + Create and maintain Excel spreadsheets to report daily, weekly or monthly activity of cash, billing and collection status. + Maintain, correct and reconcile batch posting for any or all payers as requested by the Supervisor. + Utilize billing software to confirm orders for billing. + Submit claims to appropriate insurance carriers or organizations to obtain payment for services provided. + Review unpaid accounts by examining remittance advice and aging reports for overpayments and refunds. Investigate and take action on unpaid accounts to bring them to closure. + Mail private pay statements to patients and perform necessary follow-up and investigative work as required + Answer billing and insurance inquiries on patient accounts from patients, insurance companies and other departments. + Prepare or obtain documents necessary for claim submission. + Identify and document overdue patient accounts to be sent to collections. + Identify and post cash to correct patient accounts. All unidentified cash is resolved in a timely manner. + Knowledgeable and responsible for multiple payers. + Reconcile lockbox to the daily deposits. + Prepare all cash, claim and related backup documentation for filing and/or storage. + Prepare custom billing statements for special accounts and/or institutional billing, as required. + Maintain daily cash transactions for bad debt. + Associate's degree preferred. + 1 - 2 years collections or medical billing experience required. + 4 - 5 years business office experience required. + Prior personal computer experience required.. + Completion of medical terminology course preferred. + Completion of post high school program preferred. + Strong communication and organizational skills preferred. **Licensure, Certifications, and Clearances:** **UPMC is an Equal Opportunity Employer/Disability/Veteran**