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Payment Application Specialist III - CCP Wexford - Hybrid

UPMC
Wexford, PA Full Time
POSTED ON 4/16/2025
AVAILABLE BEFORE 6/15/2025

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.

Salary : $18 - $28

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