At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic continues to evolve. As our recruiters work to fill positions during this time, interviews and recruitment-related processes have been modified to protect and prioritize the safety of our candidates and employees.

UPMC continues to comply with any governmental guidance related to local, state, and federal COVID-19 vaccination and testing requirements where our team members live and work. UPMC strongly supports vaccination and encourages everyone who can get vaccinated to do so to protect themselves, their co-workers, and our patients. At this time, the COVID-19 vaccination is available for new or existing employees on a voluntary basis, except where required by local, state, or federal authorities. Staff in positions in our New York, Maryland, and City of Philadelphia areas must be in compliance with local COVID-19 mandates.

For more information about UPMC’s response to COVID-19, please visit

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Ancillary Insurance Verification Rep.

  • Job ID: 274702065
  • Status: Full-Time
  • Regular/Temporary: Flex
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient Access
  • Location: 409 South Second Street, Harrisburg PA 17104
  • Union Position: No
  • Salary Range: $15 to $21.66 / hour


Verifies insurance coverage and authorizations have been obtained for all scheduled ancillary services prior to date of service.


  • Search continuously for improvement opportunities and notifies eh supervisor and or team leads of trends.
  • Follows up on physician office and/or patient concerns or questions.
  • Maintains knowledge of third party requirements (referrals, prior authorizations, notification forms, COB, HMO, Worker?s Compensation, Auto Insurance and Managed Care contracts) and insurance compliance.
  • Refers uninsured patients, who are unable to pay, to the financial counselors.
  • Knowledge of diagnosis correlation with anatomical study scheduled. (Including contrast levels)
  • Acts as a liaison to technologists, physician offices, and other departments for scheduling and authorization directions.
  • Acts as a liaison to health center staff regarding billing questions as well as any changes health center staff need to make to a patients? account to ensure acceptance of a claim
  • Knowledge of insurance plans, UPMC Pinnacle sites participate with.
  • Knowledge of insurance contracts with Tristan locations.
  • Knowledge of the different protocols between facilities and Radiology groups.
  • Continuing education with insurance plan changes and referral/authorization guidelines
  • Educate referring physician offices on how to obtain authorizations or referrals.
  • All verification is completed daily
  • Accounts are completed in a timely manner to improve customer satisfaction and allow for referral and authorization activities prior to patient's arrival.
  • Enters authorization information onto HAR in Epic
  • Gathers and/or verifies insurance information. Resolves complex insurance verification questions.



Associate Degree or equivalent with a minimum of 1-year experience with insurance verification/authorization or closely related field. In lieu of degree a minimum of High School diploma or equivalent with 2-3 years-experience with insurance verification/authorization or closely related field. Working knowledge of basic medical terminology and completion of medical terminology course within six months of employment with passing score of 80%.Excellent verbal and written communication skills. Working knowledge of insurance / billing requirements.Preferred -Prior Epic knowledge preferredICD-10 coding knowledge preferredCPT codes for diagnostics procedures

Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

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