Access Lead- UPMC West Shore

UPMC; Mechanicsburg (Cumberland County); On-site; USD 60,000 - 85,000; Full time

Job summary

UPMC in Mechanicsburg is seeking a supervisor to coordinate and lead the daily functions of the designated work area, provide direction to staff, and escalate issues to management as needed. You will ensure timely statistical reporting and data analysis to support UPMC guidelines and serve as the primary on-site advocate for financial matters.

Responsibilities include training new staff, updating patient demographics and insurance information, verifying benefits, collaborating with clinical and

Responsibilities

• Coordinate and lead the daily functions of the designated work area and provide direction to staff.
• Escalate concerns or problems to management when necessary.
• Facilitate the completion of statistical reporting and data analysis to support UPMC guidelines.
• Serve as the primary information source and advocate for financial matters on site.
• Train new staff and orient them to the department work area, providing ongoing education and communication as necessary.
• Provide feedback to management about personnel, department issues and concerns.
• Monitor patient flow and respond to changes in workload, patient volume, and staffing levels.
• 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 carriers via electronic verification system or phone.
• Interact with clinical staff/ancillary departments to resolve reimbursement issues.
• Advise on referrals to participating health care facilities when appropriate.
• Work various revenue reports and take action to ensure a successful billing process.
• Perform in accordance with system-wide competencies/behaviors.
• Perform other duties as assigned.

Job description

Purpose:

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.

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.
• Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites.
• Represents Management and is 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.
• Works various revenue reports within established time frames.
• Takes action accordingly to ensure a successful billing process.
• Performs in accordance with system-wide competencies/behaviors.
• Performs other duties as assigned.