Access Lead

UPMC is looking to hire an Access Lead to support the Patient Arrival department at UPMC McKeesport. This position would work various weekdays, weekends, and holidays, primarily working 7:00 am- 7:30 pm, however, you may be scheduled to assist with coverage for overnights and call-offs. In addition to working at UPMC McKeesport, this role will be cross-trained at UPMC East.

The Access Lead position will coordinate and lead the daily functions of the designated work area, along with providing direction and support to staff as needed. The role will escalate any concerns or problems to management when necessary.  Additionally, this employee will facilitate the completion of all statistical reporting and data analysis to ensure UPMC guidelines are being supported, as well as serve as the primary information source and advocate for financial matters on site.

Are you looking to grow your career?  If so, apply today!

Responsibilities:

• Support and contribute to UPMC’s 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.
• Advise the clinical staff of the need for a possible referral to a participating healthcare facility when appropriate.
• Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites. Represents Management and is empowered to make decisions.
• Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
• Works various revenue reports within established time frames. Takes action accordingly to ensure a successful billing process.
• Ensure precertification requirements have been met prior to treatment.
• Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
• Responsible for training new staff and orienting them to the department work area. Provide ongoing education and communication as necessary.
• Provide feedback on a regular basis to management about all personnel, department issues, and concerns for areas of direct responsibility.
• Update patient demographic and insurance information in the system as necessary. Verify insurance benefits information with all available carriers via an electronic verification system or telephone if not previously completed.