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   Current UPMC employees must apply in HR Direct

Billing/Collections Specialist, Skilled Nursing Facilities

Description

UPMC Senior Communities is in search of a full-time Billing/Collections Specialist to support our Skilled Nursing Facilities. This position is a Monday-Friday, daylight role. Experience in long-term care billing/collections is highly preferred. 

Join the team that’s providing the highest quality of care to seniors in our communities. With state-of-the-art safety protocols and the support of an academic medical center, UPMC Senior Communities has demonstrated a continued commitment to keeping both our residents and our employees safe and healthy, especially throughout the COVID-19 pandemic. 


Make a true impact at our senior living facilities, where you’ll have the confidence that your care is clinically backed by a best-in-class health care system and the rewarding knowledge that you are changing lives every day.


Responsibilities:
  • Perform collections work on assigned patient accounts to increase cash flow and minimize patient accounts receivable.
  • Meet the month end closing deadlines by ensuring that all data entry is correctly inputted into the system. .
  • Work with the Director, Patient Accounts Receivable to develop, implement, and maintain a standard accounts receivable month end close schedule.
  • Assist in development, revision, and implementation of policies and procedures for accounts receivable (including the admissions process) in the skilled nursing facilities, with the goal of promoting consistency in operations.
  • Provide billing support to the business office as necessary.
  • Prepare and distribute regular reports which measure performance in relation to the goals established for third party collections.
  • Participate in regular accounts receivable meetings with skilled nursing facilities to assist in defining collection strategies as they relate to particular accounts.
  • Work with appropriate third party agencies, including collection agencies, legal counsel, etc., to resolve difficult collections matters.
  • Assist with the Medical Assistance process.
  • Responsible for all Third Party Billing monthly including but not limited to Medicare, Medicaid, Blue Cross and UPMC.
  • Adhere to the UPMC Health System and Patient Business Services Standards of Conduct. Adhere to Fair Debt Collection Practices Act guidelines. Maintain both yourself and your work in a manner consistent with a professional environment. Other duties as assigned by supervisor
  • Maintain Resident Trust Fund to ensure timely payment of resident's AR accounts and payment of bills.
  • Help to facilitate strong two-way communications between facility staff and the business office to promote efficient work flow
  • Make recommendations regarding bad debt write-offs, ensuring bad debts are supported with appropriate documentation

Qualifications

  • High school graduate or equivalent. 
  • One year prior experience in medical billing and collections. 
  • Previous experience in a skilled nursing facility (SNF) with knowledge of SNF Medicare, Third Party and Medicaid billing regulations strongly preferred. 
  • Must have strong organizational and computer skills.

Licensure, Certifications, and Clearances:
  • Act 34
  • OAPSA

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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       Current UPMC employees must apply in HR Direct

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