Pre-Arrival Representative at UPMC
United States
<p><strong>Job Summary:</strong><br>The Pre-Arrival Representative must demonstrate the philosophy of the University of Pittsburgh Medical Center Health System during the performance of these duties. This role is responsible for a broad spectrum of duties. As a Pre-Arrival Representative you will be responsible for obtaining insurance verification of a patients benefits. The Pre-Arrival Representative will resolve any type of insurance issue such as, a coordination of benefit issue, third party liability issue, Medicare secondary payer questionnaire issue, etc. Pre-Arrival Representative works closely with many departments across the UPMC system, and outside the UPMC umbrella. Good communication skills are essential. The Pre- Arrival representative will provide patients with financial education (Insurance & Self Pay Liabilities) early and often within the Revenue Cycle process to ensure an exceptional patient experience and enable patients to align their clinical care plan with their financial plan.<br><br><strong>Responsibilities:</strong></p><ul><li>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.</li><li>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.</li><li>Document appropriate account activity in system(s).</li><li>Attend all mandatory training as defined in UPMC and Revenue Cycle Policies and Procedure manuals.</li><li>Maintain compliance with quality standards.</li><li>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.</li><li>Collect monies, and post payments via NUPAY when applicable.</li><li>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.</li><li>*Performs other duties as assigned</li></ul><br><br><ul><li>High School Diploma or equivalent required. </li><li>1 year of general customer service experience required. </li><li>Maintain an excellent attendance ad punctuality record. </li><li>Experience in insurance verification, and customer service preferred. </li><li>Excellent organizational, interpersonal, and communication skills. Competent in MS Office/PC skills. </li><li>Knowledge of insurance payers and regulations, managed care contracts and coordination of benefits is required. </li><li>Maintain an excellent attendance and punctuality record.<br><br><strong>Licensure, Certifications, and Clearances:</strong><br>Credentialing as a Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) preferred. <br><br> </li><li>Act 34</li></ul><p><br><strong>UPMC is an Equal Opportunity Employer/Disability/Veteran</strong></p>
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