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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Document Process Specialist I

  • Job ID: 411130571
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Claim Intake Ver-Mail SV
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $16.77 to $26.31 / hour

Description

The Document Process Specialist 1 ensures the accuracy of electronically transmitted data to advance to the next step in the digital process flow.   This includes data entry and/or core data validation via research into multiple core systems, as well as researching and creating electronic document tracking for the electronic distribution of correspondence requiring robust research. 

Responsibilities:

 

  • Verify and correct, as necessary, claims and documents received through the Formworks process to include but not limited to individual characters and fields in OCR Repair and OCR RepCrit, and information contained in KE (Key Entry).
  • Verify electronically received at pre-adjudication. 
  • Investigate via Filenet software or EDI (Electronic Data interchange) Inquiry Screen (s) any flagged claims. 
  • Successfully complete training and data enter forms/claims into the various system applications or repositories. 
  • Accurate and timely research of complex documents to determine responsible department. 
  • Create an electronic document tracking distribution to the appropriate owner.  
  • Notify the supervisor and/or team leader of any issues that may compromise client satisfaction. 
  • Performs Intake Processor Specialist 1 & 2 tasks as needed.

 

Qualifications

  • High School Diploma or equivalent.
  • Must be proficient with data entry using QWERTY keyword.
  • Two years computer experience.
  • One year of claims knowledge of ICD10, CPT, HCPC codes, billing or claim insurance forms strongly preferred.
  • Knowledge of Medical Terminology is a plus. Ability to learn multiple
  • Systems and Repository navigation for research and data validation.
  • Must be able to thrive in a fast-paced production environment and contribute to a positive work culture with high levels of repetitive tasks requiring focus and attention to detail.


Licensure, Certifications, and Clearances:

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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