What are the responsibilities and job description for the Billing/Collections Specialist - CCP Hybrid position at UPMC?
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 in a hybrid role.
EPIC experience preferred.
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.