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   Current UPMC employees must apply in HR Direct

Financial Counselor

  • Job ID: 381193796
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Pinnacle Hospitals
  • Department: Renal Transplant-Kidney
  • Location: 205 South Front Street, Harrisburg PA 17105
  • Union Position: No
  • Salary Range: $17.52 to $26.27 / hour

Description

Purpose:
Obtain verification of patients' benefits prior to service; as well as appropriate insurer authorizations for all relevant services when applicable.

Responsibilities:

  • Obtain initial and subsequent prior authorization/referrals as required by specific payers.
  • Secure verification of insurance benefits prior to office visits and required treatments.
  • Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage.
  • Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients.
  • Assists with other office functions as required.
  • Ability to work in a team environment.
  • Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available.
  • Demonstrate the ability to solve problems through effective communication.
  • Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
  • Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations.
  • Meet with patients and designated family members to discuss billing issues.
  • Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.

 

Qualifications

Completion of High school diploma or GED 3 years work experience, preferably in a medical office setting Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws Word processing and computer experience required preferably including EPIC experience.

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