UPMC Community Pharmacy is hiring a full-time, hybrid Billing/Collections Specialist to support timely billing, collections, resolution, and analysis of third-party payer accounts for retail pharmacy services.
This role acts as a liaison between pharmacies, insurance companies, patients and their representatives, and internal stakeholders to help ensure accurate reimbursement and efficient account resolution.
The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with no weekend or holiday requirements. The position is based out of UPMC Community Pharmacy at 1860 Centre Avenue in Pittsburgh, PA, with approximately 50% to 90% remote work depending on business and departmental needs.
Key responsibilities include:
- Building and maintaining positive working relationships with pharmacy and receivable team personnel
- Communicating insurance and financial information related to patient accounts
- Analyzing billing and collection processes to identify inefficiencies and recommend improvements
- Negotiating discounts and settlements within established guidelines
- Resolving accounts by coordinating with insurers, pharmacy staff, patients, and representatives
- Maintaining logs and reporting on collection issues, high-dollar accounts, and reimbursement concerns
- Pursuing pharmacy account collections from adjudication through final resolution
The ideal candidate should have:
- A bachelor's degree, or
- 3-5 years of experience as a retail pharmacy technician, or
- 3-5 years of experience in a pharmacy accounts receivable environment
- Strong interpersonal, communication, and collection skills
- Knowledge of third-party payors such as Medicare, Blue Cross, Medical Assistance, and commercial plans
- Familiarity with reimbursement practices and automated patient billing systems
- Successful third-party collection experience and solid decision-making skills, preferably in long-term care or retail pharmacy
- Ability to communicate effectively with patients, payors, government offices, and others through in-person, phone, and written communication
- Ability to work independently in a decisive and timely manner
- Act 34 clearance
Benefits and perks mentioned in the posting include:
- Full-time schedule
- Hybrid work arrangement
- No weekend or holiday requirements
- Daylight schedule
Location
Pittsburgh, Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago