UPMC Corporate Services is hiring a Vendor Relations Liaison to support the Revenue Cycle Insurance Collections Department. This role will work in the office at the Quantum One building in Pittsburgh, PA, with the potential of a hybrid schedule. Coming into the office will be required until quality and productivity standards are met.
Vendor Relations Liaisons are responsible for reviewing attorney requests and subpoenas for billing records. They process itemized billing statements for most UPMC Hospitals and Physicians if the requests are valid. The liaison will check multiple billing applications to pull all billing records associated with the request and mail the request USPS, Certified mail and or secure portals. All billing records are checked before sending to make sure they are HIPPA compliant. The Liaisons maintain a 5-7 business day turnaround for processing all requests. Vendor Relation Liaisons are required to have a high attention to detail when reviewing and processing requests as they contain highly sensitive PHI. Failure to adhere to HIPAA regulations can result in severe penalties, including civil monetary fines, criminal charges, civil lawsuits, reputational damage, corrective action plans, and potential loss of eligibility for government healthcare programs

• Review account balances to ensure appropriate billing activity has occurred to either a third-party payer or guarantor.
• Maintain department productivity guidelines.
• Maintain compliance with quality standards.
• Complete review and take action on vendor reports and perform the appropriate follow-up. Contact guarantors, third-party payers, and/or other outside agencies for payment of balances due. Assign accounts deemed uncollectible to collection agencies. Monitor assignment of accounts for appropriateness and initiate change as required.
• Counsel and evaluate the patient’s financial situation and complete the appropriate screening.
• Identify A/R issues that may impact workflow.
• Perform duties and responsibilities in a manner that promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.
• Create and analyze spreadsheets of the assigned book of business and review for account trends.
• Adhere to the Fair Debt Collections Practice Act and the Fair Credit Extension Uniformity Act and understand the laws and regulations applicable to job functions.
• Process account balance write-offs according to department policies. Identify and take action towards the resolution of problematic accounts through potential refunds, adjustments, payment transfers, etc.
• High School diploma or equivalent and one year of claims processing/billing/collections experience, OR High School diploma or equivalent and three years of experience in a business office setting.
• Bachelor’s degree preferred.
• Knowledge of medical terminology, third-party payer guidelines and reimbursement practices, and available financial resources for payment of balances due.
• Proficiency in Microsoft Word and Excel.
• Strong understanding of all patient accounting systems.