Pre-Arrival Representative Job in Pittsburgh, Pennsylvania US
Pre-Arrival Representative
UPMC Corporate Services is currently hiring a full-time Pre-Arrival Representative to assist with the day to day operations of the Patient Business Services Department for its South Side location. This position will work regular business hours Monday through Friday. This role will be responsible for a broad spectrum of duties beginning with initial patient contact via telephone prior to hospitalization to obtain information for pre-registration. Responsibilities -Monitor reservation and scheduling information to initiate the verification and pre-certification. -Obtain pre-certification when required for scheduled services prior to patient's admission or outpatient procedure. -Obtain and communicate estimates for scheduled procedures as requested. -Verify insurance benefits with the insurance company or other agency for all scheduled admissions and outpatient procedures. -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. Basic Qualifications -High School diploma required. -Completion of a medical terminology course (or equivalent) required. Associate degree in health-related field or business preferred. -A minimum of two years recent work experience in hospital admissions, hospital or medical business office or financial services setting, with experience in insurance verification, service authorization and customer service, preferred. -Windows-based PC skills and computer proficiency required. -Knowledge of insurance programs and regulations, managed care contracts and coordination of benefits is required. Salary Range: 12.08 15.56 19.06 UPMC is an equal opportunity employer. ------------