Access Lead - ENT Pediatrics

UPMC is hiring a full-time Access Lead to join their Pediatric ENT office at UPMC Children's Hospital! The Division of Pediatric Otolaryngology provides a comprehensive diagnostic and treatment program for all diseases involving the ear, nose, or throat. Ear surgery, placement of ear tubes, removal of tonsils and adenoids and sinus surgery are performed. Special testing for nasal and eustachian tube function, as well as audiologic examinations, is available. The office also makes arrangements for patients needing any type of ear, nose, or throat surgery.

The Access Lead provides day-to-day leadership and operational support for the Pediatric Otolaryngology access team. The position helps ensure consistent scheduling operations, supports staff with scheduling and access-related questions, assists with workflow management and issue resolution, and serves as a key point of coordination between the access team, clinical staff, providers, and departmental leadership.

Hours for this position will be Monday through Friday, daylight hours. No evenings, weekends, or holidays required! Previous experience working in medical office is highly preferred.

Responsibilities:

• 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.
• Advise the clinical staff of the need for a possible referral to a participating health care facility when appropriate.
• Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites. Represents Management and is empowered to make decisions.
• Monitor patient flow and respond to changes in workload, patient volume, and staffing levels, planning services accordingly.
• Works various revenue reports within established time frames. Takes action accordingly to ensure a successful billing process.
• Ensure precertification requirements have been met prior to treatment.
• Interact with the clinical staff and/or ancillary departments to resolve reimbursement issues.
• Responsible for training new staff and orienting to department work area. Provide ongoing education and communication as necessary.
• Provide feedback on a regular basis to management about all personnel, department issues and concerns for areas of direct responsibility.
• Update patient demographic and insurance information in the system as necessary. Verify insurance benefit information with all available carriers via electronic verification system or telephone if not previously completed.
• High school diploma or GED and at least 3 years of experience in a related fiscal/admissions/registration function, or
• Associate degree and 1 year experience; or an equivalent combination of education and experience required.

Medical terminology, third party health care coverage experience and strong understanding of managed care regulations are required.Strong interpersonal, organizational and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances. Ability to effectively problem solve and make independent decisions. Prior working experience on personal computers and various office equipment. Knowledge and skills necessary to provide care and/or interact appropriately with all ages of patients. Possess the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs. Provide the care needs as described in the department's policy and procedure.

Licensure, Certifications, and Clearances:

• 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