At UPMC, we are committed to keeping our community safe and healthy as the COVID-19 pandemic unfolds. As our team continues to provide Life Changing Medicine to our patients, our recruiters will continue to fill positions throughout this time. Interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

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

UPMC Life Changing Medicine
Search Our Jobs

   Current UPMC employees must apply in HR Direct

Billing/Collections Specialist

  • Job ID: 261371036
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday to Friday, 8:00 a.m. to 4:30 p.m.
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: ASC Managed Services
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $14.97 to $24.42 / hour

Description

Responsibilities:
  • Maintain a timely schedule of account resolution, reviewing all patient and insurance balances monthly.
  • Follow policy and procedures developed for the handling of all client mail, insurance denials, and reimbursement irregularities.
  • Utilize all tools available to ensure reimbursement, including but not limited to, sending of appeals, redeterminations and claim investigations.
  • Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy.
  • Analyze systems and procedures that affect the efficient billing and collection of accounts and recommend and implement needed changes.
  • Pursue information in an aggressive, yet highly professional manner.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, and patients and/or their representatives.
  • Communicate pertinent reimbursement issues in a timely manner to Supervisor
  • Adhere to the UPMC Health System and Patient Business Services Standards of Conduct.
  • 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.
  • Adhere to Fair Debt Collection Practices Act guidelines.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.

Qualifications

  • High school diploma or equivalent. 
  • Two years of experience in a billing or follow-up role of a healthcare or health insurance organization. 
  • Familiarity and competence on one or multiple billing and patient accounting systems. 
  • A team performance orientation with regard to department, payer and the ambulatory surgery centers. 
  • An understanding and ability to communicate with third-party reimbursement and regulatory requirements. 
  • Prior use of Microsoft Office applications recommended especially the use of Excel, Word and Access. 
  • Understanding of CPT codes and familiarity with revenue codes. 
  • Continued education and training to improve the understanding of payer communications, billing systems and analytical software tools.
  • Additional knowledge relating to hospital registration systems and processes.

Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days.

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Total Rewards

    More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

    Our Values

    At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

       Current UPMC employees must apply in HR Direct

    Talent Network