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Billing/Collections Specialist - CCP (Flex Full Time)

  • Job ID: 108903733
  • Status: Full-Time
  • Regular/Temporary: Flex
  • Hours:
  • Shift: Day Job
  • Facility: Children's Community Pediatrics
  • Department: Billing Office
  • Location: 11279 Perry Highway, Wexford PA 15090
  • Union Position: No
  • Salary Range: $16.24 to $24.96 / hour

Description

Are you passionate about helping kids be their best selves?

 

Join the team at UPMC Children’s Community Pediatrics!

 

 

CCP is hiring a Flex Full Time Billing/Collections Specialist to support the CCP Central Billing office in Wexford. This position will be working the weekeday daylight shift from 7:30 AM to 4:00 PM. Prior Medical Billing and Epic experience preferred. After initial training, this position may work fully remotely during weekday daylight shifts

 

 

Excellent Full Time benefits, more flexible hours and a pleasant work environment! Apply today to join our team.

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:

  • Analyze systems and procedures that affect the efficient billing and collection of accounts and recommend and implement needed changes.
  • 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.
  • Negotiate discounts and/or settlements according to the guidelines established and refer any exceptions to management as appropriate.
  • Observe UPMC HS policies and procedures.
  • 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.
  • Pursue information in an aggressive, yet highly professional manner.
  • Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
  • Adhere to the UPMC Health System and Patient Business Services Standards of Conduct.
  • Pursue the collection of accounts from the point of adjudication to the final resolution of the account.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers and patients and/or their representatives.
  • Interact with office personnel to ensure the cooperative flow of insurance and financial information on patients.
  • 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 and clinical office personnel.

 

Qualifications

  • Bachelor's degree OR 3-5 years experience as in a medical billing department and/or 3-5 years experience in accounts receivable environment.
  • Strong interpersonal, communication and collection skills required.
  •  Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), and the applicable reimbursement practices and familiar with automated patient billing systems.
  • History of successful third-party collection skills and decision-making capabilities, preferably in a primary care and/or inpatient billing department.
  • 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

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 — 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