[Remote] Pre-Service Financial Counselor

Note: The job is a remote job and is open to candidates in USA. UPMC is hiring a Pre-Service Financial Counselor to support its Patient Advocacy department. The role prepares price estimates, explains insurance benefits and potential out-of-pocket expenses, counsels patients, and collects payments for scheduled hospital-based services.

Responsibilities

• Create timely and accurate price estimates by utilizing the EPIC estimator tool
• Utilize insurance websites or hotlines to confirm eligibility and benefits, reviewing appropriate fee schedules to determine correct charges and apply all information to ascertain patient liability
• Assist patients with explaining their insurance benefits
• Deliver price estimates to patients in a courteous and knowledgeable manner, providing clarification about the patient's benefits if requested
• Collect patient responsibilities using IVR system or other credit card and payment options
• Document appropriate account activity in system(s)
• Liaise with physician offices, internal departments and insurance companies to develop accurate estimate if requests are vague or incomplete
• Refrain from disclosing or revealing confidential information to any person and do not access patient or coworker records (either electronic or files) except as specifically necessary to perform job duties
• Attend all mandatory training as defined in UPMC and Revenue Cycle Policies and Procedures manuals
• Perform duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions
• Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods
• Resolve complex outstanding patient issues
• Perform benefit education and financial counseling on potential out of pocket expenses for patients who have services scheduled
• Maintain department productivity levels
• Maintain compliance with quality standards

Skills

• High School diploma or equivalent and 4 years experience, OR Bachelor's degree
• Strong PC and computer skills
• Strong analytical and problem-solving skills, organization and time management
• Must possess excellent communication and customer service skills
• Must display leadership skills
• Must be dependable, professional, have strong interpersonal skills, be an excellent communicator and have the ability to prioritize the workload
• Act 34
• Familiarity with large-scale, automated patient billing systems (e.g., Medipac, EPIC), medical terminology, and fee schedules and coding (e.g., CPT/HCPCS)
• Previous experience with insurance verification and benefit application

Benefits

• Eligible to work from home

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