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UPMC is seeking an Access Lead to join the Patient Arrival department at UPMC McKeesport. This role involves working various weekdays, weekends, and holidays, primarily from 7:00 am to 7:30 pm, occasionally assisting with other shifts. The position also includes cross-training at UPMC East.

The Access Lead will oversee and coordinate daily operations and provide guidance to staff as needed. They will escalate issues to management when necessary and ensure the completion of all statistical reporting and data analysis to meet UPMC guidelines. Additionally, this role will 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's 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 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 three years of experience in a related fiscal/admissions/registration function, or Associate degree and one 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 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 34

UPMC is an Equal Opportunity Employer/Disability/Veteran