Pre-Arrival Representative

UPMC Pre-Arrival Representative

Do you have experience with medical insurance? Are you interested in growing your customer service experience? UPMC is hiring full-time Pre-Arrival Representatives. Although not common, flexible full-time and part-time positions are occasionally available. This position would work Monday through Friday during daylight hours. The position is located at the Southgate Building in Harrisburg with the opportunity to work from home after training is completed and department metrics are met.

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 also 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. These employees work closely with many departments across the UPMC system and outside of the UPMC umbrella.

If you have experience with insurance verifications and authorizations and are enthusiastic about assisting others in a customer service role, apply today!

Responsibilities :

• Collect monies and post payments via NUPAY when applicable.
• Document appropriate account activity in system(s).
• Maintain compliance with quality standards.
• 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.
• Verify insurance benefits with the insurance company or other agency for all admissions, outpatients, and surgical procedures.
• Provide financial education to patients and their 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.
• Proficient working in multiple disciplines.
• Perform all duties and responsibilities according to the philosophy and standards of UPMC, embracing the system wide core competencies and behaviors. Maintain departmental productivity levels and compliance with quality standards. Attend all mandatory training as defined in UPMC and Revenue Cycle Policies and Procedure manuals. Adhere to the UPMC and Revenue Cycle standards of conduct.
• Performs other duties as assigned.

Qualifications :

Licensure, Certifications, and Clearances :

UPMC is an Equal Opportunity Employer / Disability / Veteran

At UPMC, we strive to ensure that diversity, inclusion, dignity, respect, and cultural awareness is at the core of everything we do. By fostering an environment where every member of our team has a voice, regardless of race, ethnicity, gender identity, sexual orientation, faith, age, or culture, we aim to emphasize a simple point : who you are is important, and who you are has a place at UPMC.