Are you passionate about helping kids be their best selves?

UPMC Children's Community Pediatrics is hiring a Full-Time Payment Application Specialist III 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:

• Process third-party reimbursements with guidelines set forth in the department.
• Initiate the refund process to ensure timely return of misdirected revenue.
• Process reimbursements to multiple billing systems and automated systems as required.
• Provide back up support for other staff members who perform various departmental functions.
• Responsible for meeting departmental goals on a daily basis.
• Review manually posted payments and adjustments for accuracy.
• Perform batch audits.
• Responsible for entering payments/non-payment denials into the Epic billing system.
• Responsible for entering self-pay, insurance, and manual exception payments into the Epic billing system.
• Manage the EFT set-up of commercial payors.
• Assist the Supervisor with various reporting functions.
• Audit posting accuracy of electronic files and documents as required.
• 6 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