Vendor Relations & Billing Compliance Specialist

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 42,000 - 54,000; Full time

Job summary

UPMC Corporate Services seeks a Vendor Relations Liaison in Pittsburgh to support the Revenue Cycle Insurance Collections Department. The role requires in-office presence at Quantum One with a potential for hybrid work; initial in-office attendance is required until standards are met.

The position involves reviewing attorney requests for billing records, processing itemized statements, and ensuring HIPAA compliance across multiple systems, with a 5–7 day turnaround target.

Qualifications

• High School diploma or equivalent with 1 year of billing/collections experience or 3 years in a business office.
• Bachelor's degree preferred.
• Knowledge of medical terminology and third-party payer guidelines.
• Proficiency in Word and Excel; familiarity with patient accounting systems.

Responsibilities

• Review account balances and verify billing activity with payers or guarantors.
• Maintain department productivity guidelines and quality standards.
• Follow up on vendor reports and contact guarantors/payors for payments; assign uncollectible accounts to agencies.
• Counsel and evaluate patients on their financial situation and conduct screening.
• Identify A/R issues that may impact workflow.
• Ensure adherence to core values in all interactions.
• Create and analyze spreadsheets of assigned book of business and review for account trends.
• Adhere to applicable debt collection laws and regulations.
• Process balance write-offs per department policies and pursue resolutions for refunds or adjustments.
• Maintain HIPAA compliance at all times.

Skills

Attention to detail

HIPAA compliance awareness

Knowledge of medical terminology

Patient accounting concepts

Education

High School diploma or equivalent

Bachelor's degree preferred

Tools

Microsoft Word

Microsoft Excel

Job description

UPMC Corporate Services seeks a Vendor Relations Liaison in Pittsburgh to support the Revenue Cycle Insurance Collections Department. The role requires in-office presence at Quantum One with a potential for hybrid work; initial in-office attendance is required until standards are met.

The position involves reviewing attorney requests for billing records, processing itemized statements, and ensuring HIPAA compliance across multiple systems, with a 5–7 day turnaround target.