Job Description

Job Title: Payor Specialist
Job ID: 712257
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Department: Rev Cyc Care Mgmt
Location: 2 Hot Metal Street, Pittsburgh PA 15203


Job Summary:

UPMC Corporate Services is hiring a Payor Specialist to support the Revenue Cycle Care Management department during daylight hours on Monday through Friday. In this role, you will perform a variety of clerical, secretarial and payor related functions.

  • Assist in communicating payor issues and concerns regarding level of care, continue stay, denials and discharge plans to care managers as appropriate and documents interactions in Canopy.
  • Assist in notification to payors of admissions/discharges.
  • Assist in obtaining payor benefit verification for post-acute services when requested.
  • Assist in prompt payor feedback to care managers/social workers enabling them to re-evaluate/re-direct the current patient plan of care in order to streamline the delivery of service.
  • Effectively support payer call center as it relates to obtaining authorization for the appropriate level of care.
  • Enter and maintain authorization/certification information in Canopy and Medipac System as it is obtained.
  • Participate in yearly continuing education programs to include fire, safety, disaster and Universal Precautions.
  • Support and adhere to the hospital's and the department's policies and procedures, philosophy and mission applying Service Excellence attitudes and behaviors in the process of performing all job responsibilities.
  • Support the denial management processes, specifically concurrent and retrospective denials, and appeals.


  • High School diploma required. 
  • Three to five years of secretarial experience, preferably in a health care setting, demonstrating increasing responsibility required.  
  • Insurance contact and authorization experience is preferred. 
  • Experience using electronic medical records is preferred. 
  • Excellent communication skills, both written and verbal. 
  • Coordination and interpersonal skills along with the ability to exercise independent judgment. 
  • Thorough knowledge of Microsoft Work, Excel, Access and PowerPoint is required.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $14.53 to $22.86 / hour

Union Position: No

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