UPMC · 23 hours ago
Billing Collections Specialist
Pittsburgh, PA
Full-time
Onsite
Mid Level
3+ years expUPMC is a healthcare provider seeking a Billing Collections Specialist to manage the timely control and collection of third-party payor accounts. The role involves analyzing insurance verification and billing efforts to ensure prompt resolution of accounts while adhering to relevant guidelines.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Adhere to Fair Debt Collection Practices Act guidelines
Pursue information in an aggressive, yet highly professional manner
Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy
Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, and patients and/or their representatives
Deposits payments at bank in a secure and timely manner as needed
Pursue the collection of accounts from the point of adjudication to the final resolution of the account
Communicate pertinent reimbursement issues in a timely manner to Supervisor
Maintain logs for month-end reporting purposes, such as potential collection problem accounts, reimbursement issues, high dollar accounts, etc
Assist in the development and maintenance of positive working relationships between the receivable team
Interact with personnel to ensure the cooperative flow of insurance and financial information on patients
Provide assistance to other department personnel as required through the direction of your supervisor
Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility
Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process
Qualification
Required
High school diploma or equivalent required
3-5 years experience in accounts receivable environment OR equivalent combination of education and experience
Strong interpersonal, communication and collection skills required
Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), the applicable reimbursement practices and familiar with automated patient billing systems
History of successful third-party collection skills and decision-making capabilities
Ability to communicate with patients, payors, government offices, etc. through face to face, telephone and written correspondence
Ability to act independently in a decisive and timely manner
Must possess good working knowledge of grammar and general office procedures
Must possess a good working knowledge of word processing and spreadsheet software including Word and Excel
Must complete CRS Orientation, Facility-specific Orientation, and Department Specific Orientation(s) where appropriate
Must possess the ability to provide customer services of the quality expected of CRS employees
Must complete all mandatory competencies for system, CRS business unit and/or facility
Must be organized and possess good time management skills and able to prioritize heavy workload
Must possess effective written and verbal communication skills
Must have strong interpersonal skills including the ability to interact with all personalities
Act 34
Preferred
Associates Degree in Business/Healthcare or 2 years experience as a secretary
Knowledge of ICD-9 and CPT Coding preferred
Knowledge of medical terminology preferred
The ability to use office machines (fax, copier, mail, etc.) preferred
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
President and CEO
Frederick M. Hargett
Chief Financial Officer
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