Billing Collections Specialist

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 36,000 - 52,000; Full time

Job summary

UPMC is seeking a full-time Billing Collections Specialist to support the Centers for Rehab Services in Pittsburgh. The role follows a day-shift Monday–Friday pattern and offers a hybrid work arrangement with on-site presence a few times per month after training.

You will manage timely control, submission, and collection of third-party payor accounts, analyze insurance verifications, and coordinate with insurers, physicians, and patients to resolve accounts efficiently.

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.
• Deposit 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.

Job description

Purpose:
Do you have experience with medical billing and collections? UPMC is hiring a full-time Billing Collections Specialist to support the Centers for Rehab Services. This position would work Monday-Friday during daylight hours. The position is eligible to work a hybrid work arrangement, typically on-site a few times per month, after potential on-site training.

The Billing Collections Specialist provides the timely control, submission, collection, and analysis of all third-party payor accounts. They provide the on-going analysis of insurance verification, billing and collection efforts to ensure a timely resolution of accounts. Additionally, they 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.
• Deposit 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.