Purpose:
Perform a wide variety of functions dependent on the needs of the department. Responsible for technical support, cognizant skills required for other roles in the department, staff direction and development, leadership, accountability for key performance indicators, quality improvement, continuing education activities and supervision of associates. Need to ensure that methodologies, policies and procedures are deployed to guarantee the highest quality standards with extraordinary customer service as the goal. Need to demonstrate the philosophies and core values of UPMC in performance of duties.
Shift: Monday - Friday 7am - 3:30pm
*This role will rotate between McCandless, Cranberry and Wexford sites.
Responsibilities:
- Responsible for training new associates and provide ongoing education and communication to staff. - Review to ensure 100% compliance with uLearn requirements is met. - Evaluates staff to ensure compliance with departmental competencies is met invoking additional training as needed.
- Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.
- Participate in assigned committees, special project task and work groups as directed by department management.
- Develop and update work specific procedural and policy documentation.
- Foster an environment that encourages associate growth and development. - Serve as a coach, mentor, team builder and facilitator. - Provides on call support to staff in the event of problems and/or staffing concerns. - Serves as a resource person for technical and/or operational questions as a liaison with clinical and non clinical departments ensuring highest standards of data integrity is met. - Identify problems; define alternatives and recommends practical efficient solutions.
- Conduct new associate interviews working with HR to finalize process. Collaborate with the manager and utilizes other resources regarding personal issues and/or situations that have real or potential impact on the department and/or institution.
- Represent department in the absence of the manager. Make effective decisions within the scope of delegated authority.
- Completes department schedule, weekly time/attendance and monitors PTO requests to ensure staffing coverage. Manage overtime keeping within budgetary requirements.
- Follow up on customer complaints and issues; ensure problem resolution and corrective action for long term solution.
- Associate or Bachelor's degree in business, healthcare administration, finance or related field and 1 year of healthcare billing, registration or patient business services experience required. Or a minimum of 4 years of healthcare billing, registration or patient business services environment.
- Supervisory experience preferred.
- Strong interpersonal and communication skills and ability to effectively problem solve and make independent decisions.
- Know insurance pre-certification/pre-authorization, Managed Care, Medicare/Medicaid and Commercial insurance plans.
- Prior working experience on personal computers and various office equipment.
Licensure, Certifications, and Clearances:
Credentialing as a Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) preferred.
- Act 31 Child Abuse Reporting with renewal
- Act 33 with renewal
- Act 34 with renewal
- Act 73 FBI Clearance with renewal
UPMC is an Equal Opportunity Employer/Disability/Veteran