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Accounts Receivable Claims Analyst, Associate at UPMC

Accounts Receivable Claims Analyst, Associate

UPMC Pittsburgh, PA (Onsite) Full-Time

**Job Summary:**

The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, claims utilization billing, and employer group reimbursements are completed accurately and timely. They will work closely with the Director, Finance Operations to maintain existing clients, onboard new clients, and assist in identifying and resolving issues in a proactive and timely manner. They will frequently engage with Product Management, and Sales & Account Management in maintain our service levels to our external employer group customers that have our HRA, FSA, ASO & Stop Loss product offerings. This position has a hybrid work schedule with 2 days per week in the office and 3 days work from home.


+ Maintain an understanding of all industry-wide HRA, FSA, ASO & Stop Loss product offerings

+ Perform client payment processes including direct debiting, while working with the Accounting Department to ensure that client payments are being received and reconciled appropriately

+ Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements are functioning as intended

+ Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group clients to ensure that all relevant claims are set to be billed appropriately

+ Interface with internal and external customers via a dedicated email service account, to assure resolution of inquiries and concernsMonitor and ensure that client receivables are maintained within contracted terms

+ Assist project teams and workgroups to benefit improvements & process changes for HRA, FSA, ASO & Stop Loss productsAssist in internal/external audits that pertain to HRA, FSA, ASO & Stop Loss products


+ Minimum of a High School diploma or GEDBachelor's Degree in Business Administration- Accounting, Finance or related field preferred

+ Minimum of 1 year of healthcare, insurance, or other financial experience 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

+ Microsoft office with emphasis on spreadsheet application required, and claims processing system experience is preferred

**Licensure, Certifications, and Clearances:**

**UPMC is an Equal Opportunity Employer/Disability/Veteran**

REQNUMBER: 393798325

Recommended Skills

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