At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds. Visit upmc.com/vaccinesupport to learn more about how you can help.

Our recruiters will continue to fill positions throughout this time, but 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.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Billing Collections Specialist, Full-Time (McKeesport)

Description

UPMC Centers for Rehab Services is currently hiring a full-time Billing Collections Specialist to support the corporate location in McKeesport, PA. The candidate will work Monday - Friday 8:00 a.m. - 4:30 p.m. If you have medical billing experience and this sounds like a good fit for you, we invite you to apply!

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.
  • Pursue information in an aggressive, yet highly professional manner.
  • Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, and patients and/or their representatives.
  • Deposits payments at bank in a secure and timely manner as needed.
  • Pursue the collection of accounts from the point of adjudication to the final resolution of the account.
  • 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.
  • Assist in the development and maintenance of positive working relationships between the receivable team.
  • Interact with personnel to ensure the cooperative flow of insurance and financial information on patients.
  • Provide assistance to other department personnel as required through the direction of your supervisor.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
  • Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process.

 

Qualifications

  • High school diploma or equivalent required. Prefer Associates Degree in Business/Healthcare or two years experience as a secretary
  • Three - five years experience in accounts receivable environment OR equivalent combination of education and experience
  •  Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), the applicable reimbursementpractices and familiar with automated patient billing systems
  • History of successful third-party collection skills and decision-making capabilitie
  • 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 good working knowledge of grammar and general office procedures
  • 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 Child Abuse Reporting with renewal
  • Act 33 with renewal
  • Act 34
  • 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