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Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Billing/Collections Specialist - CCP- Wexford (WFH)

  • Job ID: 688042318
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Children's Community Pediatrics
  • Department: Billing Office
  • Location: 103 Bradford Road, Wexford PA 15090
  • Union Position: No
  • Salary Range: $16.80 to $25.84 / hour

Description

Are you passionate about helping kids be their best selves?
Join our team of Life Changers!

UPMC Children's Community Pediatrics is hiring a Regular Full Time Billing and Collections Specialist to support the Wexford office. This position is primarily Work From Home but will require presence in the office 1 or 2 days each week.

Excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today

Purpose:
Provide for the timely control, submission, collection, and analysis of all third party payor accounts. Provide for the on-going analysis of insurance verification, billing and collection efforts to insure a timely resolution of accounts. 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.

Responsibilities:

  • Analyze systems and procedures that affect the efficient billing and collection of accounts and recommend and implement needed changes.
  • 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.
  • Negotiate discounts and/or settlements according to the guidelines established and refer any exceptions to management as appropriate.
  • Observe UPMC HS policies and procedures.
  • Maintain both yourself and your work in a manner consistent with a professional environment.
  • Provide assistance to other department personnel as required through the direction of your supervisor.
  • Pursue information in an aggressive, yet highly professional manner.
  • Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
  • Adhere to the UPMC Health System and Patient Business Services Standards of Conduct.
  • Pursue the collection of accounts from the point of adjudication to the final resolution of the account.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers and patients and/or their representatives.
  • Interact with office personnel to ensure the cooperative flow of insurance and financial information on patients.
  • Adhere to Fair Debt Collection Practices Act guidelines.
  • Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy.
  • Assist in the development and maintenance of positive working relationships between the receivable team and clinical office personnel.

Qualifications

  • REQUIRED: Bachelor's degree, or 3-5 years' experience as a in a medical billing department
  • Or Bachelor's degree, 3-5 years' experience in accounts receivable environment.
  • Strong interpersonal, communication and collection skills required.
  • Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), and the applicable reimbursement practices and familiar with automated patient billing systems.
  • History of successful third-party collection skills and decision-making capabilities, preferably in a primary care and/or inpatient billing department.
  • 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


Licensure, Certifications, and Clearances:

  • Act 31
  • Act 33
  • Act 34
  • Act 73


UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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