Description

Our UPMC team at Forbes Tower is looking for a Full-time Billing / Collections Specialist!!

In this role, the Billing/Collections Specialist is responsible for providing billing and collections support to skilled nursing facilities.

Location: 3600 Forbes Ave, Pittsburgh, PA 15213

Hours: 8am-4:30 OR 7am-3:30pm 

• This is a hybrid role with some remote/home-based work and some travel to the office for meetings/training and Month End Close Process

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 workflow
• Make recommendations regarding bad debt write-offs, ensuring bad debts are supported with appropriate documentation

At UPMC, we will continue to follow universal masking requirements in all of our facilities and meet standards of infection prevention in order to protect patients, visitors, and staff. Compliance with the CMS mandate is vaccination or an approved medical or religious exemption. We will strive to continue to work as best as we can within the changing guidelines.

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 are strongly preferred.
• Must have strong organizational and computer skills.
• Previous Long Term Care preferred
• Skilled Nursing Facility billing or other relevant billing experience preferred

Licensure, Certifications, and Clearances:

• Act 34
• OAPSA

UPMC is an Equal Opportunity Employer/Disability/Veteran

CMS Covid-19 Vaccine Mandate:

After March 1st, 2022

The Jan. 13 Supreme Court of the United States decided that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure individuals either get vaccinated or receive a requested medical or religious exemption by Jan. 27. For individuals who choose an mRNA vaccine, a second dose of Pfizer or Moderna must be received by Monday, Feb. 28, or within the designated timeframe after your first dose is received.

While the deadlines have passed, it’s not too late to get your first shot or request a medical or religious exemption. We each play a part in reaching 100% in our COVID-19 vaccination efforts.

If you previously chose not to be vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC, or visit a non-UPMC provider or UPMC Urgent Care location.

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.