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Billing Specialist I
- UPMC (Pittsburgh, PA)
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Children's Hospital of Pittsburgh is hiring a Billing Specialist to work in the Dental Department at the main hospital location in Lawrenceville.
The Billing Specialist will be responsible for the data entry of charges into billing system, verification of patient insurance and demographic information, updating system and doing authorization and eligibility checks whenever necessary.
Responsibilities:
+ Accepts responsibility for personal and professional growth. Attends department meetings (unless otherwise excused).
+ Participates in department systems and/or BU activities and in-services.
+ Maintains documentation of attendance of annual training, mandatory education and age specific criteria.
+ Accountable for timely, accurate data entry of professional charges into computer system.
+ Reconciles and balances all batch charge entries at the end of the day.
+ Exhibits accuracy in the registering of demographic and insurance information to insure clean claims processing.
+ Keep abreast of third-party payer updates and changes as to how it would affect charge entry, notifying appropriate personnel of potential system changes that may be needed to avoid claim denials.
+ Coordinates the flow of communication regarding any third-party payer updates and/or changes between other Billing Specialists, Supervisor, Physician Practice Staff and other Departments.
+ High-school Diploma or equivalent required
+ Two years billing/accounts receivable experience in Healthcare facility or Physician office setting, preferred.
+ Knowledge of ICD-9/10 & CPT Coding and Medical Terminology, preferred.
+ EPIC knowledge preferred. **Licensure, Certifications, and Clearances:**
+ Act 31/33/34/73 Child Abuse Clearance
UPMC is an Equal Opportunity Employer/Disability/Veteran
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