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Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

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

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   Current UPMC employees must apply in HR Direct

Billing Collections Specialist, Full-Time (McKeesport)

Description

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, SKILLS & ABILITIES & INTERPERSONAL/LANGUAGE SKILLS 

  • 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 capabilities
  • 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 a good working knowledge of word processing and spreadsheet software including Word and Excel 


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct