UPMC Noble House Medical Clinic is hiring a full-time Billing Specialist to join their team in New Castle, PA! This is a Monday through Friday daylight position with the hours of 8am to 4:30pm. No evenings, weekends, or holidays. This position has possibility of being a hybrid/WFH opportunity. 

This position is responsible for all daily billing activities to include releasing charges from billing work queue, managing claim edits, denials and performing follow up as needed to get claims covered. 

Purpose:
Perform necessary functions to support timely follow-up of unpaid third-party claims and appeals. Ensure integrity of billing system by updating insurance and demographic information as necessary. Resolve moderate to complex patient inquiries and problems.

Responsibilities:

Verify insurance benefits information with all available carriers via on-line electronic system or telephone with payors and subscribers as required. Review demographic and insurance information on a routine basis and updates the patient/guarantor as required to ensure accuracy of claims and statement filing Enter payments and correct errors and inaccurate information. Validate successful transmission of claims to insurance carriers and intermediaries on assigned claims while performing claim follow-up. Generate patient bills according to established procedures and reviews patient bills for accuracy. Review claim denials from the rejection report and performs claim follow-up based on policy.