Description
Purpose:
Responsible for the timely and accurate financial counseling of uninsured or underinsured patients. Responsible for assisting the patient for applying for Pennsylvania Medical Assistance, the Health Insurance Exchange Marketplace and UPMC Financial Assistance Program.
Responsibilities:
- Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Financial Services Department.
- Assist patients with applying for UPMC Financial Assistance program. Ensure that all the regulatory and financial requirements are met.
- Maintain compliance with quality standards.
- Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods.
- Resolve complex outstanding patient issues.
- Perform benefit education and financial counseling on potential out of pocket transplant related expenses with patients during clinic appointments and subsequent discussion via telephone on an as needed basis.
- Submit Medical Assistance Presumptive Eligibility applications with the mandated requirement of five days.
- Maintain department productivity levels.
- Conduct daily review and analysis of accounts flagged for review.
- Assist uninsured or underinsured patients with obtaining health care coverage, with either the Health Insurance Exchange Marketplace or Pennsylvania Medical Assistance.
- Performs duties and job responsiblities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity an Respect, Caring and Listening, Excellent and Innovation, Responsibility and Inegrity) in all consumer and UPMC interactions.
Qualifications
- High school diploma or Equivalent and 4 years of experience OR BS required
- Prior experience working with patients.
- Familiarity with Pennsylvania Medical Assistance, UPMC Financial Assistance Progam preferred.
- Strong PC and computer skills are required.
- Must possess excellent communication and customer service skills.
- Must display leadership skills.
- Must be able to pass the Certified Application Counseling training within the first 4 weeks of employment.
- Must be dependable, professional, have strong interpersonal skills, be an excellent communicator and have the ability to prioritize the workload.
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.
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
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.