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Access Lead
UPMC • Cranberry Township, PA 16066 • Posted 7 days ago
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In-person • Full-time • Mid Level
Job Highlights
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University of Pittsburgh Physicians is seeking a full-time Access Lead to join their team in Cranberry, PA. The role involves working at the front desk, greeting patients and vendors, handling Epic check-in, co-pay collection, appointment scheduling, triaging incoming calls, and managing prior authorizations for specialty Rheumatoid prescriptions. This position requires experience with EPIC and prior authorizations, and offers free on-site parking and easy access to freeways/turnpikes.
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
Required
- 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.
About UPMC
UPMC, or the University of Pittsburgh Medical Center, is a leading integrated healthcare provider in the United States. It offers a wide range of medical services, including primary and specialty care, surgical procedures, and rehabilitation services. UPMC operates numerous hospitals, outpatient facilities, specialized care centers, and physician practices both domestically and internationally.
Full Job Description
University of Pittsburgh Physicians are hiring a full-time Access Lead to join their team in Cranberry, PA. In this position, you will work Monday-Friday 8:00am-4:30pm. This position is stationed at the front desk greeting patients and vendors. Responsibilities include: warm welcomes, Epic check in, co-pay collection, appointment scheduling, triaging incoming calls using EPIC CARE software and prior authorizations for specialty Rheumatoid prescriptions. This growing practice of Rheumatology and Allergy providers has free on-site parking and easy freeway/turnpike access.
Experience with EPIC and prior authorizations is strongly preferred.
**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.
+ 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.
**Licensure, Certifications, and Clearances:**
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
Experience with EPIC and prior authorizations is strongly preferred.
**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.
+ 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.
**Licensure, Certifications, and Clearances:**
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
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