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   Current UPMC employees must apply in HR Direct

Insurance Verification/Onboarding Patient Coordinator, Chartwell

  • Job ID: 698762749
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8 am - 4:30 pm, 8:30 am - 5 pm
  • Shift: Day Job
  • Facility: UPMC Community Provider Services
  • Department: Specialty Reimbursement
  • Location: 1001 Oakdale Road, Oakdale PA 15071
  • Union Position: No
  • Salary Range: $17.97 to $29.87 / hour

Description

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/Disability/Veteran

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       Current UPMC employees must apply in HR Direct