• Access Lead- Penn Hills

    UPMC (Pittsburgh, PA)


    UPMC Community Medicine Incorporated is hiring a full-time Access Lead to support Gastroenterology Associates- UPMC. This role will be based out of the Penn Hills location (1000 Integrity Dr # 110, Pittsburgh, PA 15235) and will be responsible for ensuring that each location has coverage for their front desk. If there is time off for any of the Patient Service Representatives, the Access Lead will typically be the first one to float for coverage to the following locations: 1907 Lebanon Church Rd., Suite 201 West Mifflin, PA 15122 (15%), 5200 Centre Ave Ste 312, Pittsburgh, PA 15232 (15%), and 2000 Oxford Drive, Suite 680, Bethel Park, PA 15102 (10%).

     

    This position will be a float position for the front desk and will also help to lead access initiatives across the practice.

     

    When sitting at the front desk, this position checks in patients for office visits, verifies insurance information, collects copays, sends reminders for appointments and procedures, informs patients of wait times, schedules office visits, answers live calls, and other duties as assigned. The Access Lead position will have responsibility for additional tasks such as sending no show letters, making extra reminders calls, managing wait lists, filling late cancellation spots, etc. Additionally, this position will complete digital faxing processes and in basket work to ensure smooth referral operations and absorb some volume from the check in staff.

    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. 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