Access & Revenue Operations Lead

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

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