Billing Collections Specialist, Full Time (Remote)

The Rehabilitation Institute is seeking a Full TimeBilling Collections Specialist to join our Corporate Billing Team! This position will have the flexibility of Work from Home after training has been completed with the exception of possible business needs and/or team meetings. This position will spend majority of the scheduled shift on the phone, working with collections on self-pay as well as payment plans. The Billing Collections Specialist will have a schedule of Monday thru Friday between 7am-4:30pm, exact start and end times are to be determined. If you or someone you may know would be a great fit for this role, apply today!

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:

• Adhere to Fair Debt Collection Practices Act guidelines.
• Pursue information in an aggressive, yet highly professional manner.
• Analyze patient accounts with respect to potential problems and develop an appropriate collection strategy.
• Facilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, and patients and/or their representatives.
• Deposits payments at bank in a secure and timely manner as needed.
• Pursue the collection of accounts from the point of adjudication to the final resolution of the account.
• 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.
• Assist in the development and maintenance of positive working relationships between the receivable team.
• Interact with personnel to ensure the cooperative flow of insurance and financial information on patients.
• Provide assistance to other department personnel as required through the direction of your supervisor.
• Attend compliance training program as defined in the compliance training policy and assist in monitoring compliance within area of responsibility.
• Guide and motivate people and have the expertise to recognize, analyze and resolve problems and inefficiencies in the billing/collection process.

• High school diploma or equivalent required.
• Associates Degree in Business/Healthcare or 2 years experience as a secretary preferred.
• 3-5 years' experience in accounts receivable environment OR equivalent combination of education and experience.
• 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.
• Ability to communicate with patients, payors, government offices, etc. through telephone and written correspondence.
• Ability to act independently in a decisive and timely manner Knowledge of ICD-9 and CPT Coding preferred.
• Knowledge of medical terminology preferred.

Licensure, Certifications, and Clearances:

• Act 31 Child Abuse Reporting with renewal
• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran