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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Ancillary Insurance Verification Representative

  • Job ID: 287509165
  • 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: $16.55 to $24.76 / hour

Description

Purpose:
Verifies insurance coverage and authorizations have been obtained for all scheduled ancillary services prior to date of service.

Responsibilities:

  • Search continuously for improvement opportunities and notifies eh supervisor and or team leads of trends.
  • Follows up on physician office and/or patient concerns or questions.
  • 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.
  • Refers uninsured patients, who are unable to pay, to the financial counselors.
  • 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 to health center staff regarding billing questions as well as any changes health center staff need to make to a patient account to ensure acceptance of a claim
  • Knowledge of insurance plans, UPMC Pinnacle sites participate with.
  • Knowledge of insurance contracts with Tristan locations.
  • Knowledge of the different protocols between facilities and Radiology groups.
  • Continuing education with insurance plan changes and referral/authorization guidelines
  • Educate referring physician offices on how to obtain authorizations or referrals.
  • All verification is completed daily
  • Accounts are completed in a timely manner to improve customer satisfaction and allow for referral and authorization activities prior to patient?s arrival.
  • Enters authorization information onto HAR in Epic
  • Gathers and/or verifies insurance information. Resolves complex insurance verification questions.

 

Qualifications

  • Associate Degree or equivalent with a minimum of 1-year experience with insurance verification/authorization or closely related field.
    • In lieu of degree a minimum of High School diploma or equivalent with 2-3 years' experience with insurance verification/authorization or closely related field.
  • 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.
  • Working knowledge of insurance / billing requirements.
  • Prior Epic knowledge preferred.
  • ICD-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

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.

   Current UPMC employees must apply in HR Direct

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