Job Description

Job Title: Insurance Verification Coordinator, Chartwell
Job ID: 66040258
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Reimbursement
Location: 1001 Oakdale Road, Oakdale PA 15071

Description

Purpose:
Manage the daily functions of the Insurance Verification area including verification of insurance coverage, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Support the Supervisor of Insurance Verifications with case management, price quotes, price negotiation, and spot deals.

Responsibilities:
  • Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements.
  • Generate financial responsibility letter.
  • Give high priority to client satisfaction and customer needs.
  • Assist in researching reimbursement issues.
  • Assist in price negotiation with case managers.
  • Assist in training of new employees.
  • Enter and update patient demographics into the computer system.
  • Coordinate completion of Financial Assistance forms, payment agreements and waivers.
  • Work effectively and maintain expected productivity.
  • Assist in generating price quotes.
  • Obtain prior authorizations as required.
  • Prioritize activities needed to be done.
  • Create new hospital and physician codes as needed.
  • Cooperate with other staff members when planning and organizing reimbursement activities.
  • Verify patients' insurance benefits for therapies prior to discharge from the hospital.
  • Review benefits and financial responsibility with patient or family member.

Qualifications

  • Associates degree OR equivalent combination of education and experience.
  • 2-3 years of experience in home IV therapy and/or insurance verifications.
  • Knowledge of medical terminology preferred.  
  • Excellent organizational and communication skills. 
  • Capable of managing multiple priorities.

Licensure, Certifications, and Clearances:
  • Act 34

  • UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

    Salary Range: $17.62 to $29.28 / hour

    Union Position: No

    Apply Current Employee?

    UPMC VALUES

    At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

    QUALITY & SAFETY
    DIGNITY & RESPECT
    CARING & LISTENING
    RESPONSIBILITY & INTEGRITY
    EXCELLENCE & INNOVATION

    UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.


    WORKING HERE



    Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

    Learn more about working here and check out our policies and recent updates.

    UPMC Health Plan Named Best Places to Work for LGBTQ Equality in 2019


    UPMC Ranked #1 Best Places for Women and Diverse Managers in 2019

    Share:
    Talent Network