Medical Billing Representative in Pittsburgh, Pennsylvania at University of Pittsburgh

Medical Billing Representative

Student Health Service - Pennsylvania-Pittsburgh - (26006795)

The University of Pittsburgh Student Health Services provides high quality primary health care, prevention, health education and pharmacy services to enhance student living and learning. Primary care services include management of both acute and chronic conditions as well as travel health and provision of gender affirming care. The Gynecological services include screening for STIs, provision of age specific screening as well as full contraceptive management. Psychiatric services include management of mood disorders as well as ADHD. Student Health Services is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC), these services uphold rigorous standards of quality and safety, promoting a healthy environment conducive to academic success.

Job Summary

Reviews medical insurance claims and medical charges and ensures appropriately assigned diagnosis code and procedure code. Investigates insurance company denials, audits patient accounts, answers inquiries for assigned accounts, and updates related billing and financial documents and software.

Essential Functions

Reviews medical insurance claims and medical charges; ensures appropriate diagnosis code and procedure code are assigned.
Investigates denials received from insurance company; reviews and discusses medical records with appropriate personnel; reassigns codes accordingly.
Audits patient accounts; verifies and updates insurance information as needed; ensures accuracy and compliance with policies, procedures, and regulations.
Answers inquiries related to assigned accounts, billing processes, and payment plans.
Maintains records of transactions; updates billing software, cash spreadsheets, and related information; prepares collection reports and assists with data entry.

Physical Effort

Little physical effort required. Duties are primarily sedentary. May be required to move objects up to 25 pounds occasionally.

Assignment Category: Full-time regular

Job Classification: Staff.Medical Billing Representative

Job Family: Finance & Procurement

Job Sub Family: Medical Billing

Campus: Pittsburgh

Minimum Education Level Required: High School Diploma/GED

Minimum Years of Experience Required: 1

Will this position accept substitution in lieu of education or experience: Combination of education and relevant experience will be considered in lieu of education and/ or experience requirement.

Work Schedule: Monday - Friday, 8:30am - 5:00pm; may need to work occasional evening and weekend

Work Arrangement: Hybrid: Combination of On-Campus and Remote work as determined by the department.

Hiring Range: TBD Based Upon Qualifications

Relocation_Offered: No

Visa Sponsorship Provided: No

Background Check: For position finalists, employment with the University will require successful completion of a background check

Child Protection Clearances: The following PA Act 153 clearances and background checks are required prior to commencement of employment and as a condition of continued employment: PA State Police Criminal Record Check, FBI Criminal Record Check, PA Child Abuse History Clearance.

Required Documents: Resume

Optional Documents: Not Applicable