Payment Application Specialist II - CCP Hybrid
UPMC
Are you passionate about helping kids be their best selves?
Join our team of Life Changers!
UPMC Children's Community Pediatrics is hiring a Full-Time Payment Applications Specialist II to support the office in Wexford.
Prior pediatric office experience strongly preferred.
Excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today!
**Purpose:**
Responsible for the posting and balancing of payment and adjustment transactions including electronic processes. Responsible for posting denials, patient and insurance refunds.
**Responsibilities:**
+ Adhere to Human Resource policies and procedures.
+ Responsible for entering self-pay, insurance, and manual exception payments into the Epic billing system.
+ Perform batch audits.
+ Review manually posted payments and adjustments for accuracy.
+ Responsible for entering payments/non-payment denials into the Epic billing system.
+ Responsible for meeting departmental goals on a daily basis.
+ Process third-party reimbursements with guidelines set forth in the department. Initiate the refund process to ensure timely return of misdirected revenue.
+ Provide back up support for other staff members who perform various departmental functions.
+ Process reimbursements to multiple billing systems and automated systems as required.
+ 3 years' experience in a physician office or hospital business unit preferred.
+ Must have experience in business functions such as registration, billing, payment posting and collections.
+ Must have experience with medical terminology and reimbursement practices.
+ Microsoft Word and Excel (or an equivalent package) and various office equipment.
+ Must demonstrate strong interpersonal and communications skills.
+ Must be able to work independently and as a team member.
+ Must be able to meet departmental quotas on an ongoing basis.
+ High school diploma or GED with three years experience is required.
+ Bachelor's Degree in Healthcare or business field is preferred. **Licensure, Certifications, and Clearances:** **UPMC is an Equal Opportunity Employer/Disability/Veteran**
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