University of Pittsburgh Physicians Department of Gastroenterology is hiring a flex full-time Access Lead to join their team at their Horizon Greenville office. In this role, you will typically work 32-35 daylight hours …
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Connellsville Township, Pennsylvania, United States · On-site
$20/hr–$25/hr
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Cumru Township, Pennsylvania, United States · On-site
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Full-time
high school, associate degree
Posted 18d ago
~35 hrs/week
Responsibilities
Coordinate daily functions of the work area, providing leadership and support to staff while managing patient flow and scheduling. Serve as the primary site advocate for financial matters and ensure accurate billing and statistical reporting.
Requirements
Requires a high school diploma with 3 years of experience or an associate degree with 1 year of experience in fiscal or registration functions. Must have knowledge of medical terminology, third-party healthcare coverage, and managed care regulations.
Full job description
University of Pittsburgh Physicians Department of Gastroenterology is hiring a flex full-time Access Lead to join their team at their Horizon Greenville office. In this role, you will typically work 32-35 daylight hours per week, Monday-Friday assisting with patient check-in/check-out, scheduling office appointments and procedures, printing mailing and faxing patient information, order reconciliation, and office supply ordering.
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
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.
Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites.
Represents Management and is empowered to make decisions.
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.
Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
Ensure precertification requirements have been met prior to treatment.
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.
Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
Advise the clinical staff of the need for a possible referral to a participating health care facility when appropriate.
Works various revenue reports within established time frames.
Takes action accordingly to ensure a successful billing process.
Performs in accordance with system-wide competencies/behaviors.
Performs other duties as assigned.
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
UPMC is a world-renowned, nonprofit health care provider and insurer committed to delivering exceptional, people-centered care and community services. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC is shaping the future of health through clinical and technological innovation, research, and education. Dedicated to advancing the well-being of our diverse communities, we provide nearly $2 billion annually in community benefits, more than any other health system in Pennsylvania. Our 100,000 employees — including more than 5,000 physicians — care for patients across more than 40 hospitals and 800 outpatient sites in Pennsylvania, New York, and Maryland, as well as overseas. UPMC Insurance Services covers more than 4 million members, providing the highest-quality care at the most affordable price. To learn more, visit UPMC.com.
Offices: US Steel Tower, 600 Grant Street, Pittsburgh, PA 15219, US
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