Access Lead- ENT, Children's Hospital
4 weeks ago
**UPMC's Pediatric Otolaryngology office is hiring an Access Lead for their location at Children's Hospital. This is a Monday- Friday Daylight position. No evenings, holidays, or weekends. If you have strong Customer Service skills and enjoy working in a fast-paced environment, this may be the position for you**
**Responsibilities:**
+ Support and contribute to UPMC's core values and guiding principles of Your Care.
+ Abide by all UPMC departmental policies, procedures, and goals in the process of performing all job responsibilities.
+ Advise the clinical staff of the need for a possible referral to a participating healthcare 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 them to the 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 benefits information with all available carriers via an 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 healthcare coverage experience, and a 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 patients of all ages.
+ 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 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**
UPMC has a Center for Engagement and Inclusion that is charged with executing leading-edge and next-generation diversity strategies to advance the organization's diversity management capability and its national presence as a diversity leader. This includes having Employee Resource Groups, such as PRIDE Health or UPMC ENABLED (Empowering Abilities and Leveraging Differences) Network, which support the implementation of our diversity strategy.
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Access Lead- ENT, Children's Hospital
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Pittsburgh, United States University of Pittsburgh Medical Center Full timeUPMC's Pediatric Otolaryngology office is hiring an Access Lead for their location at Children's Hospital. This is a Monday- Friday Daylight position. No evenings, holidays, or weekends. If you have strong Customer Service skills and enjoy working in a fast-paced environment, this may be the position for you! Responsibilities: * Support and contribute to...
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Access Lead- ENT, Children's Hospital
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Pittsburgh, United States UPMC Full time**UPMC's Pediatric Otolaryngology office is hiring an Access Lead for their location at Children's Hospital. This is a Monday- Friday Daylight position. No evenings, holidays, or weekends. If you have strong Customer Service skills and enjoy working in a fast-paced environment, this may be the position for you!** **Responsibilities:** + Support and...
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Access Lead- ENT, Children's Hospital
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Pittsburgh, United States University of Pittsburgh Medical Center Full timeUPMC's Pediatric Otolaryngology office is hiring an Access Lead for their location at Children's Hospital. This is a Monday- Friday Daylight position. No evenings, holidays, or weekends. If you have strong Customer Service skills and enjoy working in a fast-paced environment, this may be the position for you! Responsibilities: * Support and contribute to...
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