Access Lead

UPMC; Northern (KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

UPMC Northwest is seeking an Access Lead to oversee patient registration and lead the daily operations of the access area. The role involves coordinating staff, ensuring accurate demographics and insurance information, and acting as a primary resource for financial matters on site.

Shifts are primarily 3:00pm–11:30pm with potential for variation, including weekends and holidays to cover staffing needs. The position emphasizes data reporting, workflow optimization, and patient access excellence.

Qualifications

• Experience in patient registration.
• Ability to supervise staff and manage workflow.
• Strong organizational and communication skills.

Responsibilities

• Coordinate daily functions of the designated work area and lead staff.
• Provide direction and support to staff; escalate issues to management as needed.
• Ensure precertification requirements are met and update patient demographics and insurance information.
• Verify insurance benefits with carriers and assist with reimbursement issues.
• Monitor patient flow, adjust staffing as needed, and support the billing process.
• Train new staff and orient to department procedures; communicate with clinical staff.

Job description

Purpose:
Do you have experience in patient registration?Are you looking to grow your career in patient access? UPMC is hiring a full-time Access Lead to support UPMC Northwest. This position would work varying days, including rotating weekends and holidays, primarily 3:00pm until 11:30pm, however 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.