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. 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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Access Lead

  • Job ID: 826873875
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Monday - Friday, Daylight
  • 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: $16.86 to $26.56 / hour

Description

University of Pittsburgh Physicians Division is currently hiring a Regular, Full-Time Access Lead to support the Center for Fertility and Reproductive Endocrinology located at UPMC Magee-Womens Hospital! This position will work a Monday - Friday daylight schedule. 

Duties for this position include but are not limited to, verifying insurance intfertility benefits, updating registration, calculating patient out of pocket costs for IVF cycles, answering patient billing questions, etc. 

Purpose:
Coordinate and lead the daily functions of the designated work area along with providing direction and support to staff as needed. Escalates any concerns or problems to management when necessary. Facilitate the completion of all statistical reporting and data analysis to ensure UPMC guidelines are being supported. Serve as the primary information source and advocate for financial matters on site.

Responsibilities:

  • Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.
  • Advise the clinical staff of the need for a possible referral to a participating health care facility when appropriate.
  • Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites. Represents Management and is empowered to make decisions.
  • Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
  • Works various revenue reports within established time frames. Takes action accordingly to ensure a successful billing process.
  • Ensure precertification requirements have been met prior to treatment.
  • Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
  • Responsible for training new staff and orienting to department work area. Provide ongoing education and communication as necessary.
  • Provide feedback on a regular basis to management about all personnel, department issues and concerns for areas of direct responsibility.
  • Update patient demographic and insurance information in the system as necessary. Verify insurance benefit information with all available carriers via electronic verification system or telephone if not previously completed.

 

Qualifications

  • High school diploma or GED and at least 3 years of experience in a related fiscal/admissions/registration function, or Associate degree and 1 year experience; or an equivalent combination of education and experience required.
  • Medical terminology, third party health care coverage experience and strong understanding of managed care regulations are required.
  • Strong interpersonal, organizational and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances.
  • Ability to effectively problem solve and make independent decisions.
  • Prior working experience on personal computers and various office equipment.
  • Knowledge and skills necessary to provide care and/or interact appropriately with all ages of patients.
  • Possess the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs.
  • Provide the care needs as described in the department's policy and procedure.


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