Talent.com
Billing / Collections Specialist, Rx Partners

Billing / Collections Specialist, Rx Partners

UPMCBridgeville, PA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Billings / Collections Specialist

UPMC Rx Partners is looking for a full time Billings / Collections Specialist to join their dedicated team!

The Billing / Collections Specialist will 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.

This role will work 1-2 days in the Bridgeville office, as well as 3-4 days from home. Rotating Saturdays (in office).

UPMC offers a generous benefits package, an expansive total rewards package, opportunity to grow your career and much more. Apply today!

Responsibilities :

  • Assist in the development and maintenance of positive working relationships between the receivable team and nursing home facility personnel.
  • Interact with the Nursing Home personnel to ensure the cooperative flow of insurance and financial information on patients.
  • Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing / collection process.
  • Communicate pertinent reimbursement issues in a timely manner to Supervisor, CEO and Nursing Home.
  • Adhere to the UPMC Health System and Patient Business Services Standards of Conduct.
  • Observe both UPMC HS and Rx Partners-LTC policies and procedures.
  • Maintain both yourself and your work in a manner consistent with a professional environment.
  • Analyze systems and procedures that affect the efficient billing and collection of accounts and recommend and implement needed changes.
  • Provide assistance to other department personnel as required through the direction of your supervisor.
  • Negotiate discounts and / or settlements according to the guidelines established and refer any exceptions to management as appropriate.
  • Adhere to Fair Debt Collection Practices Act guidelines.
  • Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, nursing home facilities and patients and / or their representatives.
  • Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
  • Maintain logs for month-end reporting purposes, such as potential collection problem accounts, reimbursement issues, high dollar accounts, etc.
  • Pursue the collection of pharmacy accounts from the point of adjudication to the final resolution of the account.
  • Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy.
  • Pursue information in an aggressive, yet highly professional manner.

Requirements :

  • A Bachelor's degree; or 3-5 years experience as a retail pharmacy technician or
  • 3-5 years experience in pharmacy accounts receivable environment
  • Strong interpersonal, communication and collection skills required
  • Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), the applicable reimbursement practices and familiar with automated patient billing systems
  • History of successful third-party collection skills and decision-making capabilities, preferably in long term care or retail pharmacy
  • Ability to communicate with patients, payors, government offices, etc. through face to face, telephone and written correspondence
  • Ability to act independently in a decisive and timely manner
  • Licensure, Certifications, and Clearances : UPMC is an Equal Opportunity Employer / Disability / Veteran
  • serp_jobs.job_alerts.create_a_job

    Partner Specialist • Bridgeville, PA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Relationship Associate 2

    Relationship Associate 2

    First National Bank of PennsylvaniaMonroeville, PA, United States
    serp_jobs.job_card.full_time
    Make a difference - for us and for your future.This position is responsible for assisting the assigned Financial Advisors with the objective of maximizing the FA's time spend in client facing busin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Billing Specialist

    Billing Specialist

    Confluence TechnologiesPittsburgh, PA, US
    serp_jobs.job_card.full_time
    At Confluence, we've always been driven by a commitment to innovation, precision, and partnership in the investment data space. With Spiros Giannaros joining us as CEO, we're entering a new phase of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Drive with Uber - Earn at least $2425 in your first 168 trips with Uber.

    Drive with Uber - Earn at least $2425 in your first 168 trips with Uber.

    UberClaysville, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Accounting Specialist

    Accounting Specialist

    Creative Financial StaffingPittsburgh, PA, US
    serp_jobs.job_card.full_time
    Accounting Specialist - Pittsburgh, PA 15212.About the Company and Opportunity : .Competitive salary and benefits.Startup feel with an entrepreneurial culture. Work alongside great leaders and mentors...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Audit Supervisor

    Audit Supervisor

    JobotGreensburg, PA, US
    serp_jobs.job_card.full_time
    Audit Supervisor / Great Place To Work!.This Jobot Job is hosted by : Jay O'Brien.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary : $90,000 - $110,0...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    AIA Billing Specialist

    AIA Billing Specialist

    Creative Financial StaffingBridgeville, PA, US
    serp_jobs.job_card.full_time +1
    Close-knit team with supportive leadership.Low-stress environment that values employees.Collaborative, team-minded culture. Responsibilities of the AIA Billing Specialist Role : .Prepare and process a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Billing Specialist I

    Billing Specialist I

    US Tech SolutionsMonroeville, PA, US
    serp_jobs.job_card.full_time
    Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs.Individual must work with Omnicare pharmacy operations staff, prescriber office...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Billing Specialist

    Medical Billing Specialist

    Mon Yough Community ServicesMckeesport, PA, US
    serp_jobs.job_card.full_time
    SPECIFIC RESPONSIBILITIES : Generate primary and secondary paper bills according to established procedures.Edit paper claims before mailing. Perform claim follow up on denials quickly and accurately ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Collections Specialist

    Collections Specialist

    Creative Financial StaffingPittsburgh, PA, US
    serp_jobs.job_card.full_time
    This role will report directly to the.Manage customer accounts and ensure timely collections to support company cash flow. Contact clients regarding outstanding invoices and resolve payment issues.P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Drive with Uber : Earn at least $2425 when you complete 168 trips.

    Drive with Uber : Earn at least $2425 when you complete 168 trips.

    UberClaysville, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Accounts Receivable Specialist

    Accounts Receivable Specialist

    Creative Financial StaffingWexford, PA, US
    serp_jobs.job_card.full_time
    ACCOUNTS RECEIVABLE SPECIALIST.We're partnering with a growing Pittsburgh organization seeking an.Accounts Receivable Specialist. This is a fantastic opportunity to grow your career, enhance your fi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Quick Earnings : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Quick Earnings : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberWind Ridge, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Fulfillment Coordinator - shift 10 am - 6 pm

    Fulfillment Coordinator - shift 10 am - 6 pm

    Heeter Printing CoCanonsburg, PA, United States
    serp_jobs.job_card.full_time
    Heeter Printing is a top 100 Employer in Pittsburgh.We are a service leader among single-source providers of complex print, direct mail, fulfillment, and digital marketing to the healthcare, pharma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Flexible $ : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Flexible $ : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberClaysville, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Focus Group

    Focus Group

    ReeledgeSmock, PA, US
    serp_jobs.job_card.full_time +1
    Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia. We are a gambling technology company launching a new service and looking...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Accounts Payable Specialist

    Accounts Payable Specialist

    Creative Financial StaffingPittsburgh, PA, US
    serp_jobs.job_card.full_time
    Are you detail-oriented, consistent, and eager to learn? Our client is seeking an Accounts Payable Specialist to manage high-volume AP tasks while assisting with payroll processing.This role is ide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberClaysville, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Drive With Uber : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Drive With Uber : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberClaysville, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days