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Purpose:

Do you have experience with reimbursements? Do you have research and institutional billing experience? UPMC is looking to hire a full-time Research and Institutional Billing Coordinator. This position would work Monday through Friday during daylight hours. The position is eligible to work remotely after the first day, however the employee will be required to come on-site once every 2-3 weeks on a rotational basis for the first few months.

The Research and Institutional Billing Coordinator facilitates the appropriate billing and prompt/correct reimbursement for all monies owed by third parties. They monitor the auditing of research requisitions to ensure proper billing of research related services, coordinate the billing process within the Health Services Division, and identify inefficiencies. Additionally, the Coordinator monitors the institutional accounts to ensure appropriate registration and reimbursement validation, and they monitor high dollar/aged accounts receivable to ensure collectability.

If you have research and institutional experience and are ready to grow your career, apply today!

Responsibilities:

+ Review monthly institutional statements for accuracy and make any necessary charge transfers or adjustments, as well as contact to distribute bulk payments on institutional accounts to the specific charge transactions.

+ Responsible for Bad Debt process/Agency placements.

+ Prepare/process facility intercompany journal entries.

+ Support and contribute to UPMC core values and guiding principles and abide by all UPMC departmental policies, procedures and goals in the process of performing job responsibilities. Incorporates acts of dignity and respect in daily interactions.

+ Obtain research requisitions and document accordingly.

+ Perform account analysis on problematic/aged accounts.

+ Provide recommendations to develop process improvements relative to research and institutional billing/collections.

+ Monitor accounts receivable to facilitate the prompt resolution of accounts or issues with involved parties including the Revenue Cycle, Hospital Departments and outside entities.

+ Follow up status calls to institutional contact for payment.

+ Assist in establishing goals to reduce the AR, improve cash collections and accounts receivable aging.

+ Perform all duties and responsibilities according to the philosophy and standards of UPMC, embracing the system-wide core competencies. Adhere to the UPMC and Revenue Cycle Standards of Conduct.

+ Refrain from disclosing or revealing confidential information to any person and do not access patient or coworker records (either electronic or files) except as specifically necessary to perform job duties.

+ Document appropriate account activity and comment codes in respective billing system.

+ Collate monthly invoice statements, retrieve and file folders as well as submission of monthly statements via e-mail or US mail for reimbursement.

+ Support Revenue Cycle areas to ensure compliance of all revenue cycle protocols.

+ Function as a liaison between research coordinators, research principal investigators, Compliance and the Revenue Cycle.

+ Register Institutional/Research professional and facility accounts in the Billing System.

+ Upon request, provide all applicable rates for clinical trials and other requests.

+ High School graduate or equivalent and 2-4 years of health insurance operations, claims processing or general auditing experience required.

+ 2-4 years data entry experience.

+ Keyboard dexterity and accuracy.

+ Knowledge of medical terminology, ICD-9 and CPT coding.

+ Knowledge of HMO, POS, PPO, Medicare, SNP, CHIP and Medicaid plans.

+ Detail oriented with excellent organizational, interpersonal and communication skills.

+ Knowledge of MS Office products.Licensure, Certifications, and Clearances:

+ Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran