Description
Purpose:
Responsible for the timely and accurate financial counseling of uninsured or underinsured patients. Responsible for assisting the patient in applying for Pennsylvania Medical Assistance, the Health Insurance Exchange Marketplace and UPMC Financial Assistance Program.
Responsibilities:
- Performs duties and job responsiblities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.
- Assist uninsured or underinsured patients with obtaining health care coverage, with either the Health Insurance Exchange Marketplace or Pennsylvania Medical Assistance.
- Submit Medical Assistance Presumptive Eligibility applications with the mandated requirement of five days.
- Assist patients with applying for UPMC Financial Assistance program. Ensure that all the regulatory and financial requirements are met.
- Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods. Resolve complex outstanding patient issues.
- Conduct daily review and analysis of accounts flagged for review.
- Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Financial Services Department.
- Maintain compliance with quality standards.
- Perform benefit education and financial counseling on potential out of pocket transplant related expenses with patients during clinic appointments and subsequent discussion via telephone on an as needed basis.
- Maintain department productivity levels.
- Maintain compliance with quality standards.
*Performs in accordance with system-wide competencies/behaviors.
*Performs other duties as assigned.
Qualifications
- HS/Equivalent and 4 years of experience OR B.S. required.
- Prior experience working with patients.
- Familiarity with Pennsylvania Medical Assistance, UPMC Financial Assistance progam preferred.Strong PC and computer skills are required.
- Must possess excellent communication and customer service skills.Must display leadership skills.
- Must be able to pass the Certified Application Counseling training within the first 4 weeks of employment.
- Must be dependable, professional, have strong interpersonal skills, be an excellent communicator and have the ability to prioritize the workload.
Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days
- Act 33 with renewal
- Act 34 with renewal
- Act 73 FBI Clearance with renewal
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.
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.