Access Lead

UPMC; Erie (Erie County); On-site; USD 42,000 - 62,000; Full time

Job summary

UPMC Hamot is hiring a full-time Access Lead to manage patient registration and lead the daily operations of the access team. The role requires directing staff, addressing issues with management, and ensuring accurate demographic and insurance data while supporting financial workflows.

The position covers 5 days weekly with rotating weekends and holidays, typically 4:00pm-12:30am. Strong communication, problem-solving, and knowledge of managed care are essential.

Qualifications

• High school diploma or GED and at least 3 years of related fiscal/admissions/registration experience, or an Associate degree and 1 year experience.

Responsibilities

• Coordinate and lead the daily functions of the designated work area and provide direction to staff.
• Elevate concerns to management when necessary.
• Facilitate statistical reporting and data analysis to support UPMC guidelines.
• Serve as primary information source and advocate for financial matters on site.
• Train new staff and orient to department work area.
• Provide ongoing education and communication to staff.
• Monitor patient flow and respond to changes in workload, volume, and staffing levels.
• Ensure precertification requirements are met prior to treatment.
• Update patient demographic and insurance information in the system.
• Verify insurance benefit information with carriers via electronic verification or phone.

Skills

Patient registration

Leadership

Staff training

Communication

Problem solving

Data analysis

Interpersonal skills

Team coordination

Education

High school diploma or GED

Associate degree

Tools

Electronic verification system

Microsoft Office

Job description

Purpose:
Do you have experience in patient registration? Are you looking to grow your career in patient access and customer service? UPMC is hiring a full-time Access Lead to support UPMC Hamot. This position would work 5 days per week, including rotating weekends and holidays, typically 4:00pm-12:30am. Flexibility is required to cover other shifts as needed for staffing coverage.

Purpose:
Do you have experience in patient registration? Are you looking to grow your career in patient access and customer service? UPMC is hiring a full-time Access Lead to support UPMC Hamot. This position would work 5 days per week, including rotating weekends and holidays, typically 4:00pm-12:30am. Flexibility is required to cover other shifts as needed for staffing coverage.
The Access Lead will coordinate and lead the daily functions of the designated work area, as well as provide direction and support to staff as needed. They will elevate any concerns or problems to management when necessary. Additionally, the Access Lead will facilitate the completion of all statistical reporting and data analysis to ensure UPMC guidelines are being supported, as well as serve as the primary information source and advocate for financial matters on site.
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.
• Incorporate acts of dignity and respect in daily interactions.
• Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites.
• Represent Management and be 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.
• Work various revenue reports within established time frames.
• Take action accordingly to ensure a successful billing process.
• Perform in accordance with system-wide competencies/behaviors.
• Perform 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