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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Payor Specialist

  • Job ID: 878647524
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Western Maryland
  • Department: Diag Imag
  • Location: 12500 Willowbrook Rd, Cumberland MD 21502
  • Union Position: No
  • Salary Range: $14.66 to $22.24 / hour

Description

UPMC Western Maryland is seeking a regular Full-time Payor Specialist to join their team of life-changers! This Payor Specialist will perform a variety of clerical, secretarial and payor related functions to support the Radiology Department. 

Responsibilities:

  • Assist in notification to payors of admissions/discharges.
  • Assist in communicating payor issues and concerns regarding level of care, continue stay, denials and discharge plans to care managers as appropriate and documents interactions in Canopy.
  • Support the denial management processes, specifically concurrent and retrospective denials, and appeals.
  • Assist in prompt payor feedback to care managers/social workers enabling them to re-evaluate/re-direct the current patient plan of care in order to streamline the delivery of service.
  • Participate in yearly continuing education programs to include fire, safety, disaster and Universal Precautions.
  • Assist in obtaining payor benefit verification for post-acute services when requested.
  • Enter and maintain authorization/certification information in Canopy and Medipac System as it is obtained.
  • Effectively support payer call center as it relates to obtaining authorization for the appropriate level of care.
  • Support and adhere to the hospital's and the department's policies and procedures, philosophy and mission applying Service Excellence attitudes and behaviors in the process of performing all job responsibilities.

 

Qualifications

  • High school diploma or equivalent and one year of claims, billing, or collections experience
  • OR Four years in a business office setting
  • OR Bachelor's degree
  • OR equivalent combination of education and experience.
  • Excellent communication skills, both written and verbal.
  • Coordination and interpersonal skills along with the ability to exercise independent judgment.
  • Thorough knowledge of Microsoft Work, Excel, Access and PowerPoint is required.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.  

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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