Patient Financial Coordinator

Life in Pittsburgh; Pittsburgh (Allegheny County); Remote; USD 40,000 - 70,000; Full time

Job summary

UPMC is hiring full-time Patient Financial Coordinators to support the Patient Advocacy department. The role involves financial counseling for uninsured or underinsured patients and assisting with applications for PA Medical Assistance, the Health Insurance Marketplace, and UPMC Financial Assistance.

Shifts run Monday–Friday with options for 8:00am–4:30pm or 11:00am–7:00pm. The position is eligible for remote work and requires adherence to regulatory and quality standards.

Qualifications

• Experience with medical insurance billing and financial counseling.
• Assist patients with applying for financial assistance programs.
• Knowledge of regulatory and compliance requirements.

Responsibilities

• Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Financial Services Department.
• Assist patients with applying for UPMC Financial Assistance program.
• Ensure that all the regulatory and financial requirements are met.
• Maintain compliance with quality standards.
• Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods.
• Resolve complex outstanding patient issues.
• Perform benefit education and financial counseling with patients during clinic appointments and via telephone.
• Submit Medical Assistance Presumptive Eligibility applications within five days.
• Maintain department productivity levels.
• Conduct daily review and analysis of accounts flagged for review.
• Assist uninsured or underinsured patients with obtaining health care coverage through the Marketplace or PA Medical Assistance.
• Promote the core values of UPMC in all interactions.

Skills

Financial counseling

Patient support

Regulatory compliance

Education

Act 34

Job description

Do you have experience with medical insurance? Are you looking to help educate patients on their financial obligations? UPMC is hiring full-time Patient Financial Coordinators to assist the Patient Advocacy department. This position would work Monday-Friday with available shifts of either 8:00am-4:30pm or 11:00am-7:00pm. This position is eligible to work remotely.

Patient Financial Coordinators are responsible for the timely and accurate financial counseling of uninsured or underinsured patients. They also assist the patient in applying for Pennsylvania Medical Assistance, the Health Insurance Exchange Marketplace, and UPMC Financial Assistance Program.

Responsibilities:

• Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Financial Services Department.
• Assist patients with applying for UPMC Financial Assistance program.
• Ensure that all the regulatory and financial requirements are met.
• Maintain compliance with quality standards.
• Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods.
• Resolve complex outstanding patient issues.
• Perform benefit education and financial counseling on potential out of pocket transplant related expenses with patients during clinic appointments and subsequent discussion via telephone on an as needed basis.
• Submit Medical Assistance Presumptive Eligibility applications with the mandated requirement of five days.
• Maintain department productivity levels.
• Conduct daily review and analysis of accounts flagged for review.
• Assist uninsured or underinsured patients with obtaining health care coverage, with either the Health Insurance Exchange Marketplace or Pennsylvania Medical Assistance.
• Perform duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellent and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran