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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. 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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Financial Counselor

  • Job ID: 584709236
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Mon-Fri 7 am -3:30 pm
  • Shift: Day Job
  • Facility: University of Pittsburgh Physicians
  • Department: 65319 POP13 Decent Billing
  • Location: 300 Halket St, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $16.36 to $25.72 / hour

Description

University of Pittsburgh Physicians is hiring a full-time Finacial Counselor.  This will work Monday to Friday 7 am - 3:30 pm.  The ideal candidate would have medical billing and Epic software experience.

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.
  • Review the daily lab schedules for IVF each morning to ensure patient information is correct, charges are being posted, payments are being applied correctly and payments are being transferred appropriately.
  • Review the previous day's accounts to make sure there are no charge entry/coding errors and distribute monies on self pay patient accounts on Monday. Review patient accounts from Friday, Saturday & Sunday.
  • Review the talk schedule for the day/week. Verify patient's insurance benefits, then review account for any outstanding balances. Contact patients to discuss their insurance benefits and to let them know if they are self pay or if they will owe any addi
  • Responsible for processing all refund requests.
  • Do charge entry as needed for the lab portion of retrievals and transfers. Once the charge entry is completed you are to go back into these accounts and distribute monies on self pay accounts.
  • Work denials on a daily basis
  • Be a fill in at the front desk and for the surgery scheduler when she is off.

 

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:

  • Act 34

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