Account Representative Sr
Qualifications & Requirements
Experience Level: Senior Level
Full Job Description
UPMC, a leading healthcare provider in Pittsburgh, PA, is seeking a Senior Account Representative to oversee fiscal operations concerning payments from insurers and patients. This vital role involves ensuring precise claims submission, fostering communication with diverse stakeholders to resolve payment issues, and providing mentorship to team members. The ideal candidate will demonstrate exceptional skills in managing multiple payers, verifying payment accuracy, identifying root causes of denials, and recommending corrective actions. Responsibilities include managing a book of business for timely and accurate billing, collections, and adjustments, evaluating referrals for financial assistance and bad debt, and possessing a strong understanding of third-party billing and collection guidelines. Familiarity with patient accounting systems, the ability to work independently, and meeting quality assurance benchmarks are essential. This position requires a collaborative approach to managing relationships with colleagues and maintaining strict confidentiality.
Company
UPMC
UPMC is a premier nonprofit health system in the United States, operating as a $10 billion integrated global health enterprise headquartered in Pittsburgh, PA.