Access Lead

Access Lead

UPMC | Pittsburgh, PA, 15289, US
Salary Range:$93,000 – $158,000 Salary range estimated by Zippia

Posted 24 days ago

Apply Now

Description

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

Search Our Jobs

  • Facility:UPMC Children's Hospital of Pittsburgh


Children's Hospital of Pittsburgh is hiring an Access Lead who will 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.

This is a daylight position, Monday-Friday.



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

  • 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 31 Child Abuse Reporting with renewal
  • 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.

Current UPMC employees must apply in HR Direct

We are aware of scams targeting UPMC and other large companies that involve individuals posing as employees to illegitimately conduct interviews and extend false employment offers and payments to gain access to candidates' personal information. Please note that UPMC will not communicate with candidates through third-party email services like Gmail or Yahoo. While some interviews may take place via a video conferencing service, UPMC Talent Acquisition will not conduct interviews via Skype or Google Hangouts. UPMC will never ask for or disburse funds during the recruitment process. If you are hired into a role with a sign-on bonus or similar incentive, funds will be paid to you by UPMC after your start date.