UPMC USA Careers – Access Lead

Purpose:

Do you have experience in patient registration? Are you looking to grow your career in patient access and customer service? UPMC is looking to hire an Access Lead to support UPMC Presbyterian. This position would work Saturday and Sunday from 10:00am until 10:30pm, as well as 2 other scheduled days per week from 5:00pm until 1:30am.

The Access Lead will coordinate and lead the daily functions of the designated work area, along with provide direction and support to staff as needed. The role will escalate any concerns or problems to management when necessary. Additionally, this employee will facilitate the completion of all statistical reporting and data analysis to ensure UPMC guidelines are being supported, as well as serve as the primary information source and advocate for financial matters on site.

Are you looking to grow your career! If so, apply today!

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. Incorporate 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. Represent Management and be empowered to make decisions.
• Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
• Work various revenue reports within established time frames. Take 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.
• Monitor supplies within the department and place orders when needed.
  

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 and third party health care coverage experience, and a strong understanding of managed care regulations are required.
• Strong interpersonal, organizational, and communication skills and must 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 interpret 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.