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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Sr. Ancillary Insurance Verification- UPMC Harrisburg

  • Job ID: 236293678
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday-Friday, 8:00 AM-4:30 PM
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient Access
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $18.58 to $27.87 / hour

Description

Purpose:
Acts as a resource for all Patient Access areas. Acts as a relief person for all insurance verification positions. Oversees the flow of work within the department in the absence of the Manager. Performs all essential duties of the Ancillary/Surgical Insurance Verification Representative.

Responsibilities:

  • Performs all other duties as assigned or deemed necessary in the department's mission to serve patients.
  • Must be able to communicate clearly with patients, physician offices, and other staff in an assertive but not aggressive manner to ensure authorizations are in place for payment. Interacts with staff, patients and their families if necessary.
  • Adheres to Universal Standards and Compliance issues.
  • Incorporates new policies and procedures into daily responsibilities and asks supervisor questions when clarification is needed.
  • Makes recommendations for improving department systems, policies and procedures.
  • Follows up on physician office and/or patient concerns or questions.
  • Maintains working knowledge of diagnosis correlation with anatomical study scheduled. (Including contrast levels)
  • Acts as a liaison to technologists, physician offices, and other departments for scheduling and authorization directions.
  • Acts as a liaison regarding billing questions as well as any changes staff need to make to a patient account to ensure acceptance of a claim.
  • Maintains working knowledge of insurance plans, UPMC Pinnacle participates with.
  • Maintains working knowledge of specialized insurance contracts specific to Tristan Imaging locations.
  • Maintains working knowledge of the different protocols between facilities and Radiology groups.
  • Maintains working knowledge of third party requirements (referrals, prior authorizations, notification forms, COB, HMO, Worker?s Compensation, Auto Insurance and Managed Care contracts) and insurance compliance.
  • Continuing education with insurance plan changes and referral/authorization guidelines.
  • Acts as a resource for all departments that need assistance or answering insurance verification queries / concerns.
  • Conducts follow up training to meet QA compliance.
  • Performs QA on assigned staff to ensure accuracy of insurance verification process and to update individual staff goal results in Success Factors.
  • Performs QA on new hires for the ancillary pre-arrival area to ensure understanding and the accuracy of the insurance verification process.
  • Acts as preceptor for all new staff within the ancillary pre-arrival area.
  • Identifies problems/concerns and refers them to Manager for action.
  • Prioritizes and oversees workflow of ancillary insurance verifiers.
  • Acts as resource for co-workers to obtain assistance and knowledge of complex situations.

 

Qualifications

  • Associate Degree or equivalent with a minimum of 1 year experience with insurance verification/authorization OR 3 years of experience with insurance verification/authorization.
  • Working knowledge of basic medical terminology and completion of medical terminology course within six months of employment with passing score of 80%.
  • Excellent verbal and written communication skills. 
  • Strong customer service orientation.
  • Working knowledge of insurance / billing requirements.
  • Preferred Knowledge, Skills and Abilities:
  • Prior Epic knowledge preferredICD-10 coding knowledge preferred CPT codes for diagnostics procedures


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

  • Act 34 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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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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