Job Description

Job Title: Access Lead
Job ID: 695650
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: SPF-Value Plan
Location: 3601 Fifth Avenue, Pittsburgh PA 15213

Description

Job Summary:

UPMC is hiring an Access Lead to work at Falk Medical Building.  This candidate will work Monday through Friday during daylight hours.  In this role, you will coordinate and lead the daily functions of your designated work area and provide direction and support to staff as needed.  Do you feel like you are up for the challenge?  Read on to learn more and apply!

Responsibilities:
  • Advise the clinical staff of the need for a possible referral to a participating health care facility when appropriate.
  • Ensure precertification requirements have been met prior to treatment.
  • Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
  • Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
  • Provide feedback on a regular basis to management about all personnel, department issues and concerns for areas of direct responsibility.
  • Responsible for training new staff and orienting to department work area. Provide ongoing education and communication as necessary.
  • Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites. Represents Management and is empowered to make decisions.
  • Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.
  • Update patient demographic and insurance information in the system as necessary. Verify insurance benefit information with all available carriers via electronic verification system or telephone if not previously completed.
  • Works various revenue reports within established time frames. Takes action accordingly to ensure a successful billing process.

Qualifications

  • High school diploma or GED and at least three years of experience in a related fiscal/admissions/registration function, or Associate degree and one year experience; or an equivalent combination of education and experience required. 
  • Medical terminology, third party health care coverage experience and strong understanding of managed care regulations are required. 
  • Strong interpersonal, organizational and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances. 
  • Ability to effectively problem solve and make independent decisions. 
  • Prior working experience on personal computers and various office equipment. Knowledge and skills necessary to provide care and/or interact appropriately with all ages of patients. 
  • Possess the ability to assess data reflective of the patients status and interprets the appropriate information needed to identify each patients requirements relative to his/her age-specific needs. 
  • Provide the care needs as described in the departments policy and procedure.

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

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

Salary Range: $15.13 to $23.82

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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