Billing/Collections Specialist, Full Time Hybrid

%3Cp%3E%3Cmeta content=%22text/html; charset=us-ascii%22 http-equiv=%22Content-Type%22%3E%3Cstyle%3E%0Aa {%0A text-decoration: none;%0A color: #464feb;%0A}%0Atr th, tr td {%0A border: 1px solid #e6e6e6;%0A}%0Atr th {%0A background-color: #f5f5f5;%0A}%0A%3C/style%3E%3C/p%3E%3Cdiv style=%22font-family:%27Segoe UI%27;font-size:14px;font-style:normal;font-weight:400;line-height:20px;%22%3E%3Cp%3EUPMC Community Pharmacy is seeking a full time, hybrid Billing/Collections Specialist to join the team! %26nbsp;This position follows a Monday through Friday daylight schedule of 8:30 a.m. to 5:00 p.m., with no weekend or holiday requirements! This is a hybrid opportunity based %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eout%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eof%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EUPMC%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3ECommunity%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EPharmacy%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eat%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3E1860%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3ECentre%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EAvenue%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ein%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EPittsburgh,%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EPA,%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ewith%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ea%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ework%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Earrangement%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eranging%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Efrom%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eapproximately%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3E50%%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eto%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3E90%%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eremote%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Edepending%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eon%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ebusiness%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eand%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Edepartmental%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eneeds.%3C/span%3E%3C/p%3E%3Cp%3EThe Billing %26amp; Collections Specialist is responsible for the timely billing, collection, resolution, and analysis of third-party payer accounts for long-term care pharmacy services. This role serves as a key liaison between insurance companies, nursing home facilities, patients and their representatives, and internal stakeholders to ensure accurate reimbursement and efficient account resolution.%3C/p%3E%3Cp%3E%3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EThe%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eideal%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ecandidate%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ewill%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Epossess%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Estrong%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eanalytical,%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eproblem-solving,%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eand%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ecommunication%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eskills%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ewhile%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Emaintaining%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ea%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ehigh%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Elevel%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eof%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eprofessionalism%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ein%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ea%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Efast-paced%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Ehealthcare%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3Eenvironment.%3C/span%3E%3C/p%3E%3Ch4%3E%3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EKey%3C/span%3E %3Cspan class=%22___1cs5bdp f1w7gpdv f5p0z4x%22 style=%22opacity:1;transition:opacity 500ms ease-out;%22%3EResponsibilities%3C/span%3E%3C/h4%3E%3Cul%3E%3Cli%3E%3Cdiv style=%22font-family:%27Segoe UI%27;font-size:14px;font-style:normal;font-weight:400;line-height:20px;%22%3E%3Cul%3E%3Cli%3EAssist in the development and maintenance of positive working relationships between the receivable team and retail pharmacy personnel.%3C/li%3E%3Cli%3EInteract with retail pharmacy personnel to ensure the cooperative flow of insurance and financial information on patients.%3C/li%3E%3Cli%3EGuide and motivate people and have the expertise to recognize, analyze, and resolve problems and inefficiencies in the billing/collection process.%3C/li%3E%3Cli%3ECommunicate pertinent reimbursement issues in a timely manner to the Supervisor, Managers, and Director.%3C/li%3E%3Cli%3EAdhere to the UPMC Health System and Patient Business Services Standards of Conduct.%3C/li%3E%3Cli%3EObserve both UPMC Health System and retail pharmacy policies and procedures.%3C/li%3E%3Cli%3EMaintain yourself and your work in a manner consistent with a professional environment.%3C/li%3E%3Cli%3EAnalyze systems and procedures that affect the efficient billing and collection of accounts and recommend and implement needed changes.%3C/li%3E%3Cli%3EProvide assistance to other department personnel as required through the direction of your supervisor.%3C/li%3E%3Cli%3ENegotiate discounts and/or settlements according to established guidelines and refer any exceptions to management as appropriate.%3C/li%3E%3Cli%3EAdhere to Fair Debt Collection Practices Act guidelines.%3C/li%3E%3Cli%3EFacilitate prompt resolution of accounts by communicating with all concerned parties, including third-party insurers, retail pharmacy personnel, patients, and/or their representatives.%3C/li%3E%3Cli%3EAttend compliance training programs as defined in the compliance training policy and assist in monitoring compliance within your area of responsibility.%3C/li%3E%3Cli%3EMaintain logs for month-end reporting purposes, such as potential collection problem accounts, reimbursement issues, high-dollar accounts, etc.%3C/li%3E%3Cli%3EPursue the collection of pharmacy accounts from the point of adjudication through final resolution.%3C/li%3E%3Cli%3EAnalyze patient accounts to identify potential issues and develop appropriate collection strategies.%3C/li%3E%3Cli%3EPursue information in an assertive, yet highly professional manner.%3C/li%3E%3C/ul%3E%3C/div%3E%3C/li%3E%3C/ul%3E%3C/div%3E

• 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:
   
• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Job Details
Primary Location: USA-PA-Pittsburgh
Work Locations: 1860 Centre Ave - Pittsburgh, 1860 Centre Avenue, 15219
Business Unit: Community Pharmacy
Schedule: Regular, Full-Time
Shift: Day Job
Union: No
Salary Range: 20.20, 32.01