Wexford, PA, 15090, USA
1 day ago
Payment Application Specialist II - CCP Wexford Hybrid
Are you passionate about helping kids be their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Payment Application Specialist II to support the office in a hybrid role. **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:** + Act 34. **UPMC is an Equal Opportunity Employer/Disability/Veteran**
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