Medical Billing Representative

Medical Billing Representativeu00a0The University of Pittsburgh Student Health Services (SHS) is a comprehensive, AAAHC-accredited healthcare facility dedicated to advancing student wellness, academic success, and lifelong health. SHS provides high-quality, evidence-based primary care, prevention, health education, and pharmacy services tailored to the unique needs of the student population.Clinical Services- Primary Care:u00a0Diagnosis and management of acute illnesses, injuries, and chronic conditions; travel health consultations; and gender-affirming care.- Gynecological Services:u00a0STI testing and treatment, age-specific preventive screenings, and full contraceptive management.- Psychiatric Services:u00a0Evaluation and treatment of mood disorders, ADHD, and related mental health conditions, coordinated with counseling and academic support services.- Pharmacy Services:u00a0On-site dispensing, medication counseling, and support for adherence to treatment plans.Preferred Education and Experience for Medical Biller- Associate's degree in healthcare administration, business, or a related field (Bachelor's preferred).- At least 2 years of medical billing and coding experience in a healthcare or ambulatory care setting.- Familiarity with electronic health records (EHR) and practice management systems, preferably Medicat or comparable university health software.- Knowledge of insurance verification, claims submission, payment posting, and denial management.- Experience with CPT, ICD-10, and HCPCS coding, with Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) credentials preferred.- Strong understanding of compliance requirements, including HIPAA and payer-specific guidelines.- Excellent communication, organizational, and problem-solving skills, with a focus on accuracy and customer service in a student-centered environment.u00a0Job SummaryReviews 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 Functionsu2022 Reviews medical insurance claims and medical charges; ensures appropriate diagnosis code and procedure code are assigned.u2022 Investigates denials received from insurance company; reviews and discusses medical records with appropriate personnel; reassigns codes accordingly.u2022 Audits patient accounts; verifies and updates insurance information as needed; ensures accuracy and compliance with policies, procedures, and regulations.u2022 Answers inquiries related to assigned accounts, billing processes, and payment plans.u2022 Maintains records of transactions; updates billing software, cash spreadsheets, and related information; prepares collection reports and assists with data entry.Physical EffortLittle physical effort required. Duties are primarily sedentary. May be required to move objects up to 25 pounds occasionally.Assignment Category:u00a0Full-time regularJob Classification:u00a0Staff.Medical Billing RepresentativeJob Family:u00a0Finance & ProcurementJob Sub Family:u00a0Medical BillingCampus:u00a0PittsburghMinimum Education Level Required:u00a0High School Diploma/GEDMinimum Years of Experience Required:u00a01Will this position accept substitution in lieu of education or experience:u00a0Combination of education and relevant experience will be considered in lieu of education and/ or experience requirement.Work Schedule:u00a0Monday - Friday, 8:30am - 5:00pm; may need to work occasional eveningWork Arrangement:u00a0Monday - Friday, 8:30am - 5:00pm; may need to work occasional eveningHiring Range:u00a0TBD Based Upon QualificationsRelocation_Offered:u00a0NoVisa Sponsor hip Provided:u00a0NoBackground Check:u00a0For position finalists, employment with the University will require successful completion of a background checkChild Protection Clearances:u00a0The 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:u00a0ResumeOptional Documents:u00a0Not ApplicablePI277980374

Created: 2025-10-04