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 complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

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

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Managed Care Specialist

Description


The Managed Care Specialist handles incoming phone calls in the test scheduling area and schedules all testing requested by physician within the group practice for test orders. The Managed Care Specialist coordinates patient care in accordance with required pre-certification.

Responsibilities:
 

  • Fax requests and letters to provider or facility performing test/procedure.
  • Understands roster management and is able to assist with it as assigned
  • Takes incoming calls and relays messages appropriately.
  • Insures timely flow of information regarding managed care contacts and/or patients to specialist, primary care physicians, staff and patients.
  • Gives patients complete information regarding any test or procedures being performed, including any preparation requirements.
  • Schedules diagnostic testing or procedures outside of for patients.
  • Pre-certifies patient services and obtains necessary approval of specialties, hospital admissions, emergency treatment, out of office testing, rehabilitation, DME, and any other necessary service.
  • Applies principles of specific managed care product to each task to insure contractual compliance.
  • Updates patient chart with scheduled appointment date and time, prep, prints instructions if any.
  • Informs HIS Department if any information needs to be sent to consulting physician office.
  • Works with manager to maintain files, coordinates patient care as it relates to quality assurance and utilization review.
  • Responds to documents and orders from physicians regarding the ordering of tests, procedures and appointment with specialist per physician orders.
  • Keeps current with managed care products and how changes may affect.

 

 

Qualifications

Requirements:

  • Graduate of an accredited Medical Secretarial school, accredited Medical Administrative assistant program, accredited Medical Assistant program or LPN program (valid state license) or one year vocational technical school; minimum six months related experience and/or training; or equivalent combination of education and experience.
  • Medical terminology required.

    Licensure, Certifications, and Clearances:
     
  • Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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