Billing Collections Specialist

Purpose:
Do you have experience with medical billing and collections?  UPMC is hiring a full-time Billing Collections Specialist to support the Centers for Rehab Services.  This position would work Monday-Friday during daylight hours.  The position is eligible to work a hybrid work arrangement, typically on-site a few times per month, after potential on-site training.

The Billing Collections Specialist provides the timely control, submission, collection, and analysis of all third-party payor accounts. They provide the on-going analysis of insurance verification, billing and collection efforts to ensure a timely resolution of accounts. Additionally, they make sound financial decisions to facilitate the resolution of third-party accounts based on the information gathered from such sources at third-party insurers, physicians, hospital personnel, governmental agencies, lawyers and patients, the Billing/Collections Specialist.

If you have medical billing and collections experience, apply today!

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.
• Deposit 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.

• High school diploma or equivalent required.
• Prefer Associates Degree in Business/Healthcare or 2 years of experience as a secretary.
• 3-5 years of 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.
• Knowledge of ICD-9 and CPT Coding preferred.
• Knowledge of medical terminology preferred.
• 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.
• The ability to use office machines (fax, copier, mail, etc.) preferred.
• 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

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran