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Purpose:

Responsible for recovery of self pay balances due. Communicates with patients and outside agencies regarding payment issues. Establishes reasonable payment arrangements, determines charity eligibility, and recommends write-offs according to UPMC Cancer Center policies.

Responsibilities:

+ Ability to perform peer to peer training

+ Go to person for escalated account

+ sAdvanced knowledge of Microsoft Office

+ Ability to communicate with multiple levels of management

+ Perform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of

+ The Basics of Service Excellence? towards patients, visitors, staff, peers, physicians and other departments within the organization.

+ Verify accuracy of payment posting and reimbursement.

+ Work with appropriate payer and/or department to resolve any payment discrepancies.

+ Understand third party billing and collection guidelines

+ Proficient working multiple payers

+ Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or perform follow-up in accordance with Revenue Cycle policies and procedures.

+ Demonstrate knowledge of the current functionality of the patient accounting system

+ Identify issues and submit corrective action recommendations

+ Ability to work independently with minimal supervision

+ Ability to understand complex reimbursement issues

+ Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards.

+ Evaluate and recommend referrals to agency, law firm, financial assistance and bad debt

+ Actively engaged in process improvement for efficiency gains.

+ Able to review complex issues, determine the root cause issue and present a solution that will result in a cost reduction the majority of the time.

+ Meet quality assurance benchmark standards and maintain productivity levels as defined by management.

+ High school diploma or equivalent and 3 years of billing, registration or patient business services or equivalent combination of education and experience

+ Excellent interpersonal, organizational, communication and effective problem solving skills are necessary

+ Must be able to communicate with patients, payers, outside agencies, and general public through telephone, electronic and written correspondence

+ Prior working experience in billing/collections, denials, credit balances and/or various payers

+ This position requires organization and time management skills

+ The incumbent must develop and manage relationships with colleagues in a professional, independent manner

+ The position requires the ability to maintain confidentiality with regard to all assignments. **Licensure, Certifications, and Clearances:**

+ Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran