Job Description

Job Title: Billing Collections Specialist
Job ID: 721073
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Corporate Billing
Location: 625 Walnut Street, Mckeesport PA 15132

Description

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:

  • 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.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
  • Communicate pertinent reimbursement issues in a timely manner to Supervisor.
  • Deposits payments at bank in a secure and timely manner as needed.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, and patients and/or their representatives.
  • Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process.
  • Interact with personnel to ensure the cooperative flow of insurance and financial information on patients.
  • Maintain logs for month-end reporting purposes, such as potential collection problem accounts, reimbursement issues, high dollar accounts, etc.
  • Provide assistance to other department personnel as required through the direction of your supervisor.
  • Pursue information in an aggressive, yet highly professional manner.
  • Pursue the collection of accounts from the point of adjudication to the final resolution of the account.

Qualifications

  • High school diploma or equivalent required
  • Prefer Associates Degree in Business/Healthcare or 2 years experience as a secretary
  • 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
  • Knowledge of ICD-9 and CPT Coding preferred
  • Knowledge of medical terminology preferred
  • 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

    Licensure, Certifications, and Clearances:
  • Act 31 Clearance
  • 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: $13.87 to $21.19

Union Position: No

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