Billing/Collections Specialist - CCP

UPMC; Wexford (Allegheny County); Remote; USD 45,000 - 65,000; Full time

Job summary

UPMC Children's Community Pediatrics is seeking a Full-Time Billings/Collections Specialist to work remotely from PA. The role involves managing accounts effectively, negotiating settlements, and ensuring timely billing and collection processes. Candidates should possess strong analytical skills and a professional approach to financial duties.

Qualifications

• Strong analytical skills for analyzing systems and procedures.
• Ability to negotiate discounts and settlements.
• Professional demeanor and adherence to compliance.

Responsibilities

• Analyze and recommend improvements to billing and collection processes.
• Maintain logs for month-end reporting and address potential collection issues.
• Facilitate communication among parties involved in financial resolutions.

Skills

Financial analysis

Communication

Negotiation

Problem-solving

Attention to detail

Job description

Are you passionate about helping kids be their best selves?

UPMC Children's Community Pediatrics is hiring a Full-Time Billings/Collections Specialist to support the office Remotely.

Must live in PA.

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.