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Access Lead

  • Job ID: 948614827
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday - Friday daylight
  • Shift: Day Job
  • Facility: University of Pittsburgh Physicians
  • Department: 65651 POP16 ENT Pediatrics
  • Location: 4401 Penn Avenue, Pittsburgh PA 15224
  • Union Position: No
  • Salary Range: $16.37 to $25.78 / hour

Description

Purpose:

University of Pittsburgh Physicians is hiring immediately for Access Lead.  The Division of Pediatric Otolaryngology provides complete care for all diseases involving the ear, nose, and throat. We also make arrangements for children who need any type of ear, nose, or throat surgery. We offer specialized areas including childhood ear disorders, airway and breathing disorders, and voice, resonance, and swallowing disorders.  This position is located at UPMC Children's Hospital of Pittsburgh located in Lawrenceville, PA. 

Job responsibilities include oversight of specialty clinic scheduling, managing urgent scheduling requests and visit coordination, and coordinating surgical and sleep study insurance authorizations.  If you want to join a team that makes Life Changing Medicine happend for the children and family of our patients, this is the perfect role for your career.  Monday thru Friday daylight. 

Coordinate and lead the daily functions of the designated work area along with providing direction and support to staff as needed. Escalates any concerns or problems to management when necessary. Facilitate the completion of all statistical reporting and data analysis to ensure UPMC guidelines are being supported. Serve as the primary information source and advocate for financial matters on site.

Responsibilities:

  • Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures, and goals in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.
  • Advise the clinical staff of the need for a referral to a participating health care facility when appropriate.
  • Review and obtain authorization for patents 
  • Schedule appointments for patients
  • Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites. Represents Management and is empowered to make decisions.
  • Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
  • Works various revenue reports within established time frames. Acts accordingly to ensure a successful billing process.
  • Ensure precertification requirements have been met prior to treatment.
  • Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
  • Responsible for training new staff and orienting to department work area. Provide ongoing education and communication, as necessary.
  • Provide feedback on a regular basis to management about all personnel, department issues and concerns for areas of direct responsibility.
  • Update patient demographic and insurance information in the system, as necessary. Verify insurance benefit information with all available carriers via electronic verification system or telephone if not previously completed.

Qualifications

  • High school diploma or GED and at least three (3) years of experience in a related fiscal/admissions/registration function,
  • or
  • Associate degree and one (1) year experience; or an equivalent combination of education and experience required.
  • Insurance experience and scheduling experience preferred
  • EPIC preferred not required 
  • Medical terminology, third party health care coverage experience and strong understanding of managed care regulations are required. Strong interpersonal, organizational and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances. Ability to effectively problem solve and make independent decisions. Prior working experience on personal computers and various office equipment. Knowledge and skills necessary to provide care and/or interact appropriately with all ages of patients. Possess the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs. Provide the care needs as described in the department's policy and procedure.


Licensure, Certifications, and Clearances:

  • Act 33, 34, and 73 required 

UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as PRIDE Health or UPMC ENABLED (Empowering Abilities and Leveraging Differences) Network, which support the implementation of our diversity strategy. 
UPMC is an Equal Opportunity Employer/Disability/Veteran

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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