COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire and is required after employment begins. Medical and religious exemption requests may be submitted for consideration.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Verification Processor

  • Job ID: 497654505
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Claim Intake Ver-Mail SV
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $15.42 to $24.17 / hour

Description

Are you detail-oriented? Are you familiar with Microsoft Office? Whether you're looking for a collaborative team setting, a career path that can lead to various opportunities, an excellent work-life balance, or experience with an industry leader, our Verification Processor opportunity offers many ways for you to get involved!

UPMC is hiring a team of full-time Verification Processors to help support the Claim Intake Verification Mail department. This is a Monday - Friday daylight role (with 8-hour shift options between 6:00 a.m. - 6:00 p.m.). This is a hybrid position in Pennsylvania, with remote/work-from-home privileges and some travel to the office for rotating team coverage and department needs.

The Verification Processor ensures accuracy of electronically transmitted data for the purpose of releasing batch claims held for review.


Responsibilities:

  • Verify and correct as necessary claims received through the FormWorks process to include but not be limited to - Individual characters and fields in OCRepair and OCRepCrit, Information contained in KE (Key Entry).
  • Complete UB's and HCFA's in FormWorks for claims unable to process directly via OCR (KFI/Key From Image).
  • Notify the supervisor and/or team leader of any issues that my compromise client satisfaction.
  • Verify electronically received data pre-adjudication.
  • Investigate via Filenet software or EDI (Electronic Data Interchange) Inquiry Screen(s) any flagged claims.
  • Claim hold/Batch error correction
  • Search continuously for improvement opportunities and notifies the supervisor and/or team leader of trends.
  • Maintain a thorough working knowledge of processes for electronically received data;

Qualifications

  • Completion of High school diploma or equivalent.
  • Able to use a QWERTY keyboard.
  • Knowledge of Insurance, Managed Care, or Benefits Administration environment preferred;
  • Prefer competency in MS Office and PC skills.
  • Able to demonstrate organizational, interpersonal, and communication skills.
  • Maintain designated production and quality standards required.Previous mailroom experience is preferred.


Licensure, Certifications, and Clearances:


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