Job Description

Job Title: Guarantor Collector
Job ID: 665684
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: Children's Community Pediatrics
Department: Billing Office
Location: 11279 Perry Highway, Wexford PA 15090


Do you have a strong background in customer service and health insurance? UPMC may have the job for you! Children's Community Pediatrics is hiring a full-time Guarantor Collector for the CCP Central Business office in Wexford. This position will be working 8:00 a.m. to 4:30 p.m., Monday through Friday.  


Facilitate the appropriate billing and prompt/correct reimbursement for all monies owed by third parties. Monitor the auditing of research requisitions to ensure proper billing of research related services, coordinate the billing process within CCP and identify inefficiencies. Monitor institutional accounts to ensure appropriate registration, reimbursement validation, and monitor high dollar/aged accounts to ensure collectability.

  • Collate monthly invoice statements, retrieve and file folders as well as submission of monthly statements via e-mail or US mail for reimbursement.
  • Document appropriate account activity and comment codes in respective billing system.
  • Function as a liaison between research coordinators, research principle investigators, Compliance and the Revenue Cycle.
  • Monitor accounts receivable to facilitate the prompt resolution of accounts or issues with involved parties including the Revenue Cycle, Hospital Departments and outside entities. Follow up status calls to institutional contact for payment. Assist in establishing goals to reduce the AR, improve cash collections and accounts receivable aging.
  • Obtain research requisitions and document accordingly.
  • Perform account analysis on problematic/aged accounts. Provide recommendations to develop process improvements relative to research and institutional billing/collections.
  • Perform all duties and responsibilities according to the philosophy and standards of UPMC, embracing the system-wide core competencies. Adhere to the UPMC Standards of Conduct.
  • Prepare/process facility intercompany journal entries.
  • Refrain from disclosing or revealing confidential information to any person and do not access patient or coworker records (either electronic or files) except as specifically necessary to perform job duties.
  • Register Institutional/Research professional and facility accounts in the Billing System.
  • Responsible for Bad Debt process/Agency placements.
  • Review monthly institutional statements for accuracy, and make any necessary charge transfers r adjustments as well as contact to distribute bulk payments on institutional accounts to the specific charge transactions.
  • Support Revenue Cycle areas to ensure compliance of all revenue cycle protocols.
  • Support and contribute to UPMC core values and guiding principles and abide by all UPMC departmental policies, procedures and goals in the process of performing job responsibilities. Incorporates acts of dignity and respect in daily interactions.
  • Upon request, provide all applicable rates for clinical trials and other requests.


High School graduate or equivalent and 2-4 years of health insurance operations, claims processing or general auditing experience required. 2-4 years data entry experience. Keyboard dexterity and accuracy. Knowledge of medical terminology, ICD-9 and CPT coding. Knowledge of HMO, POS, PPO, Medicare, SNP, CHIP and Medicaid plans. Detail oriented with excellent organizational, interpersonal and communication skills. Knowledge of MS Office products.

Licensure, Certifications, and Clearances:
  • Act 33 Child Clearance with Renewal
  • Act 34 Criminal Clearance with Renewal
  • Act 73 FBI Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $18.16 to $29.12

Union Position: No

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