Senior Medical Billing & Collections Specialist

UPMC; Pittsburgh (Allegheny County); On-site; USD 52,000 - 70,000; Full time

Job summary

UPMC is seeking a Senior Account Representative to manage fiscal functions ensuring prompt hospital payments from insurers and patients. The role involves submitting claims accurately, communicating with payers and patients about payment issues, and establishing payment arrangements in line with UPMC policies.

Responsibilities include reviewing postings and adjustments, identifying denial root causes, and mentoring staff on procedures. Strong organizational and communication skills are essential.

Qualifications

• Experience: 1 year in claims/billing/collections; or 4 years in business office; or a Bachelor's degree.
• Excellent interpersonal, organizational, communication and problem-solving skills.

Responsibilities

• Perform duties in line with UPMC Health System service philosophy.
• Verify accuracy of payment posting and reimbursement.
• Work with payers/ departments to resolve payment discrepancies.
• Identify root causes and recommend corrective actions to reduce denials.
• Assist in claim appeal processes and follow-up per Revenue Cycle policies.
• Manage assigned book of business ensuring timely billing, collections, postings, payments and adjustments.
• Evaluate referrals to agencies or departments for financial assistance or bad debt.
• Understand third-party billing and collection guidelines.
• Demonstrate knowledge of patient accounting systems.

Skills

Billing & Collections

Denials

Communication

Problem solving

Accounts receivable

Education

Bachelor's Degree

Tools

PCs

Electronic Calculators

Job description

UPMC is seeking a Senior Account Representative to manage fiscal functions ensuring prompt hospital payments from insurers and patients. The role involves submitting claims accurately, communicating with payers and patients about payment issues, and establishing payment arrangements in line with UPMC policies.

Responsibilities include reviewing postings and adjustments, identifying denial root causes, and mentoring staff on procedures. Strong organizational and communication skills are essential.