Pharmacy AR & Collections Specialist

UPMC; Bridgeville (Allegheny County); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Generous benefits package

Job summary

UPMC Rx Partners is seeking a full-time Billing/Collections Specialist to manage the timely control, submission, and collection of third-party payor accounts. Duties include ongoing analysis of insurance verification, billing, and collections to ensure timely resolution, with weekday hours 9:30am–5:00pm and one weekend shift every fifth weekend.

You will interact with nursing home facility personnel, insurers, physicians, and patients to resolve issues, develop collection strategies, and ensure

Qualifications

• Bachelor's degree or equivalent experience in pharmacy or health administration.
• 3-5 years experience in retail pharmacy technician or pharmacy accounts receivable.
• Strong interpersonal, communication and collection skills are required.
• Knowledge of Medicare, Blue Cross, Medical Assistance, Commercial payors and reimbursement practices.

Responsibilities

• Assist in maintaining relationships between the receivable team and nursing home facility personnel.
• Coordinate with Nursing Home staff to ensure flow of insurance and financial information.
• Identify and resolve issues in the billing/collection process.
• Communicate reimbursement issues promptly to supervisors and nursing home personnel.
• Adhere to policies and standards of conduct.
• Analyze systems and procedures to improve billing and collection efficiency.
• Support other department personnel as required.

Skills

Interpersonal communication

Collection skills

Independent decision-making

Knowledge of third-party payors

Retail pharmacy experience

Education

Bachelor's degree

Pharmacy/accounts receivable experience

Tools

Billing software

Job description

UPMC Rx Partners is seeking a full-time Billing/Collections Specialist to manage the timely control, submission, and collection of third-party payor accounts. Duties include ongoing analysis of insurance verification, billing, and collections to ensure timely resolution, with weekday hours 9:30am–5:00pm and one weekend shift every fifth weekend.

You will interact with nursing home facility personnel, insurers, physicians, and patients to resolve issues, develop collection strategies, and ensure