• UPMC
  • $65,090.00 -95,690.00/year*
  • Pittsburgh , PA
  • Financial Services - Insurance
  • Full-Time
  • 4870 Forbes Ave


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Description

Job Summary:

UPMC Corporate is hiring a Claims Payable Analyst, Associate to support the Insurance Claims Payable department during business hours on Monday through Friday at the US Steel Tower.

The function of the Associate Claims Payable Analyst is to ensure all Claims Payable Reports, Billing, Payables and Funding are completed accurately and timely. This includes, but is not limited to, funding, payables, billing, refund adjustments, check voids, negative balance reporting and adjustments, and subrogation adjustments. They will work closely with their Supervisor and Management to maintain efficient production within the department and assist in identifying and resolving issues in a proactive and timely manner. They will handle minimal reconciliation issues and interact with other departments on resolving issues. Their role may involve system testing and working with internal/external auditors.

Responsibilities:

  • Perform any other duties as assigned.Performs in accordance with system-wide competencies/behaviors.Learns and adheres to policies and procedures.

  • Update vendor files based on W-9 form sent in by providers.

  • Adjust claims to reflect refunded checks and voided checks, including subrogation adjustments.

  • Interface with internal and external customers to assure resolution of inquiries and concerns.

  • Assist project teams and workgroups.

  • Gain an understanding of all Claims Payable/Billing processes.

  • Work cut logs and return mail.

  • Assist in internal/external audits.

  • Update vendor bank files for EFT payments and ACH processing.

Qualifications

  • Minimum of a High School diploma or GED.

  • Healthcare experience is preferred.

  • Computer skills and experience using Microsoft Excel is preferred.

  • Bachelor's Degree in Business Administration - Accounting, Finance or related field preferred.

  • Insurance claims and/or claims payable billing experience preferred.

  • Competency in utilizing and understanding an integrated operating system is required.

  • Demonstrate professionalism, enthusiasm and initiative daily, as well as the ability to handle multiple tasks.

  • Excellent communication and organization skills with the ability to represent the department on workgroups and/or projects.

  • Excellent understanding of health insurance products.

  • Competency in Excel and Word experience required.

Licensure, Certifications, and Clearances:

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities REQNUMBER: 59898120


Associated topics: adjuster, auto, automobile, casualty, damage, insurance, insurance adjuster, investigate, liability, liability adjuster

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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