2025-09-12
University of Pittsburgh
Other
/yr
employee
contract
Pittsburgh
Pennsylvania
15260
United States
Medical Billing Representative
The 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: Diagnosis and management of acute illnesses, injuries, and chronic conditions; travel health consultations; and gender-affirming care.
Gynecological Services: STI testing and treatment, age-specific preventive screenings, and full contraceptive management.
Psychiatric Services: Evaluation and treatment of mood disorders, ADHD, and related mental health conditions, coordinated with counseling and academic support services.
Pharmacy Services: On-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.
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.
• 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.
Little physical effort required. Duties are primarily sedentary. May be required to move objects up to 25 pounds occasionally.
PI277980372
