COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Surgical Insurance Verific Rep

  • Job ID: 483574986
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8 a.m. to 4:30 p.m.
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient Access
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $16.55 to $24.76 / hour

Description

Purpose:
Creates the hospital account in EPIC and verifies insurance coverage and authorizations have been obtained for all scheduled inpatient and Short Procedure surgery cases prior to date of service.

Responsibilities:

  • Enters authorization information onto Hospital Account in EPIC.
  • Follows up on patient and Physician office concerns or questions.
  • Incorporates new policies and procedures into daily responsibilities and asks supervisor questions when clarification is needed
  • Maintains knowledge of third party requirements (referrals, prior authorizations, notification forms, COB, HMO, Worker's Compensation, Auto Insurance and Managed Care contracts) and insurance compliance.
  • Make recommendations for improving department systems, policies and procedures.
  • Creates hospital account records for all surgical cases.
  • Accounts completed in a timely manner to improve customer satisfaction and allow for referral and authorization prior to patients arrival.
  • Educates referring Physician offices on authorization / referral requirements for surgical procedures.
  • Performs all other duties as assigned or deemed necessary in the department?s mission to serve patients.
  • Reviews all inpatient and Short procedure surgery accounts for completion of registration and insurance data.
  • Revises registration with correct insurance, demographics and guarantor information as necessary.
  • Resolves complex insurance verification questions.
  • Maintains working knowledge of insurance plans participating with UPMC Pinnacle.
  • Acts as a liaison regarding billing questions as well as any changes staff need to make to a patient's account to ensure acceptance of a claim.

 

Qualifications

  • Associate Degree with minimum of 1-year experience with insurance verification authorization or closely related field or in lieu of a High School Graduate with 2-3 years of experience.
  • Able to work in a fast pace environment with minimal supervision.
  • Able to communicate effectively, especially over the telephone.
  • Medical terminology course completion is preferred. (80% Score within 6 months of employment) Working knowledge of insurance billing requirements.
  • Computer experience.
  • Preferred knowledge  EPIC, CD-10 Coding with knowledge of EPT codes for surgical procedures


Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days
 

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

COVID-19 Vaccination Information
Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct

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