Job Description

Job Title: Payment Specialist II
Job ID: 673322
Status: Part-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Susquehanna Retail
Location: 500 Old Pond Rd, Bridgeville PA 15017


RX Partners is a leading provider of pharmacy services in Western and Central Pennsylvania, and a wholly owned subsidiary of UPMC. Due to the growth of our location in central, PA, we are currently hiring a Payment Specialist II which will work out of our Bridgeville, PA office. This position has the responsibility to accurately analyze, post, balance and report payments and denials for UPMC designated entities and payers to the appropriate billing system(s). Other responsibilities include electronic remittance file retrieval and posting, and various control processes (imaging, spreadsheet updating, account monitoring, etc).

  • Apply undistributed payments on PIC billing system, following established guidelines.
  • Consistently meet departmental productivity standards as set by management.
  • Key payment data from lockbox work capturing all relevant data including payer remark codes that would assist the Billing Department to determine how to follow up on a denial. Verify that funds are in the bank prior to posting. Import and post files, and reconcile funds in the bank to payments posted. Print posted reports and manually post to the billing system any rejected payments and close the receivable to the NRP as warranted.
  • Manually resolve any rejected payments (post, refund or transfer) for electronic remittance files.
  • Perform other tasks as assigned by Supervisor and/or Manager.
  • Post and reconcile non-sufficient funds, credit files, stop payments and any/all miscellaneous bank account debit adjustments and chargebacks.
  • Post and/or code non-cash data accurately by selecting the standard code to designate the reason (payment denial, admission approval, refund request, etc). Post memo or contractual adjustment if warranted, and close the receivable to the next payer if warranted.
  • Prepare documentation for payments that must be transferred to another UPMC entity, or refunded to payer. Ensure accurate posting of payments that belong to another UPMC entity or prepare appropriate documentation so that funds can be transferred or refunded.
  • Print summary reports. Generate and distribute payer specific electronic posting summary and exception reports to department designee immediately upon completion of payer file run.
  • Recognize bad debt transactions and supply proper documentation to ensure bad debt payment is posted accurately.
  • Serve as a resource to other employees, as requested by management.
  • Thoroughly research questionable/unidentified payments in order to post properly. Contact insurance carriers, complete documentation forms and follow up on any amounts posted to suspense or UTL. Items posted to suspense or UTL must be resolved within 7 days, or notice provided to supervisor of the reason for the extended delay.
  • Understand payment posting and the relationship between co-pays, deductibles, allowances and payments so that the account balance is accurate after payment is posted.
  • Verify, import and post electronic remittance/denial files for assigned payers, ensuring that funds are in the bank prior to posting. Identify and communicate to management any unusual delays, balancing issues, new codes or adjustments.


  • High school diploma. 
  • Associate or B.A. degree in accounting or business. 
  • 3 years experience in an accounts receivable environment preferably in the health care field is highly preferred. 
  • Knowledge of payment application, billing and reconciliation. 
  • Rapid typing/data entry skill and familiarity with personal computer software such as Excel.  
  • Analytic mind that likes to resolve out-of-balance situations and math challenges.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

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

Salary Range: $14.53 to $22.86

Union Position: No

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