Job Description

Job Title: Insurance Verification Coordinator
Job ID: 636879
Status: Full-Time
Regular/Temporary: Regular
Hours: 9:00am-5:30pm
Shift: Day
Facility: UPMC Community Provider Svcs
Department: Reimbursement
Location: 500 Old Pond Rd, Bridgeville PA 15017

Description

Purpose:
Manage the daily functions of the Insurance Verification area including verification of insurance coverage, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Support the Supervisor of Insurance Verifications with case management, price quotes, price negotiation, and spot deals.

Responsibilities:
  • Assist in generating price quotes.
  • Assist in price negotiation with case managers.
  • Assist in researching reimbursement issues.
  • Assist in training of new employees.
  • Cooperate with other staff members when planning and organizing reimbursement activities.
  • Coordinate completion of Financial Assistance forms, payment agreements and waivers.
  • Create new hospital and physician codes as needed.
  • Enter and update patient demographics into the computer system.
  • Generate financial responsibility letter.
  • Give high priority to client satisfaction and customer needs.
  • Obtain prior authorizations as required.
  • Prioritize activities needed to be done.
  • Review benefits and financial responsibility with patient or family member.
  • Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements.
  • Verify patients' insurance benefits for therapies prior to discharge from the hospital.
  • Work effectively and maintain expected productivity.

Qualifications

  • Associates degree OR equivalent combination of education and experience. 
  • 2-3 years of experience in home IV therapy and/or insurance verifications. 
  • Knowledge of medical terminology preferred. 
  • Excellent organizational and communication skills. 
  • Capable of managing multiple priorities.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $16.61 to $27.60

Union Position: No

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