Pre-Arrival Representative

UPMC; Pittsburgh (Allegheny County); Híbrido; USD 36 000 - 48 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Remote work after training

Resumo da oferta

UPMC is hiring a full-time Pre-Arrival Representative based in the Southside of Pittsburgh, with the potential to work from home after training. The role focuses on verifying patient insurance benefits and guiding patients through financial aspects of care within Revenue Cycle.

The ideal candidate will have call center, billing, or insurance experience, plus strong organizational and communication skills. Monitored training and on-site duties precede remote work option.

Qualificações

• High School Diploma or equivalent.
• 1 year of general customer service experience required.
• Experience in insurance verification and customer service preferred.
• Knowledge of insurance payers and regulations is required.

Responsabilidades

• Verify insurance benefits with the insurer for admissions, outpatient and procedures.
• Provide financial education to patients and families on insurance matters and self-pay liabilities.
• Document account activity in system(s) and maintain compliance with standards.
• Refer self-pay and other accounts to financial counseling as appropriate.
• Attend mandatory training and maintain excellent attendance.

Conhecimentos

Call center experience

Insurance verification

Customer service

Communication skills

MS Office

Formação académica

High school diploma

Ferramentas

MS Office

Descrição da oferta de emprego

Are you interested in growing your customer service experience? Do you have call center experience? Join our team and you will play a unique and important role in our mission to make Life Changing Medicine happen. UPMC is hiring a full-time Pre-Arrival Representative. This role is based out of the Quantum One building in the Southside of Pittsburgh, with the opportunity to work from home after training. The employee would work Monday-Friday from 8:00am-4:30pm.

The Pre-Arrival Representative is responsible for obtaining insurance verification of a patient's benefits. They resolve any type of insurance issue such as, a coordination of benefit issue, third party liability issue, Medicare secondary payer questionnaire issue, etc. The Pre- Arrival representative provides patients with financial education (Insurance & Self Pay Liabilities) early and often within the Revenue Cycle process to ensure an exceptional patient experience and to enable patients to align their clinical care plan with their financial plan. The ideal candidate will have had call center, billing, or insurance experience.

Responsibilities:

• Perform all duties and responsibilities according to the philosophy and standards of UPMC embracing the system wide core competencies. Adhere to the UPMC and Revenue Cycle standards of conduct.
• Refrain from disclosing or revealing confidential information to any person and do not access patient or co-worker records (either electronic or files) except as specifically necessary to perform job duties.
• Document appropriate account activity in system(s).
• Attend all mandatory training as defined in UPMC and Revenue Cycle Policies and Procedure manuals.
• Maintain compliance with quality standards.
• Verify insurance benefits with the insurance company or other agency for all admissions, outpatient & surgical procedure.
• Provide financial education to patients and family on insurance matters, outside resources, patient's financial liability and hospital-billing process to ensure that patient's financial commitment to the institution is arranged for the patient prior to arrival for services.
• Refer self-pay and other accounts to financial counseling as appropriate.
• Expand knowledge or current payer lines by staying abreast of changing guidelines and requirements.
• Collect monies and post payments via NUPAY when applicable.
• All staff members will perform in accordance with system wide competencies behaviors and maintain departmental productivity levels and compliance with quality standards.
• Proficient working in multiple disciplines.
• Performs other duties as assigned.
• High School Diploma or equivalent required.
• 1 year of general customer service experience required.
• Maintain an excellent attendance ad punctuality record.
• Experience in insurance verification and customer service preferred.
• Excellent organizational, interpersonal, and communication skills.
• Competent in MS Office/PC skills.
• Knowledge of insurance payers and regulations, managed care contracts and coordination of benefits is required.
• Maintain an excellent attendance and punctuality record.

Licensure, Certifications, and Clearances:

• Credentialing as a Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) preferred.
• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran