Access Lead - ENT Pediatrics

UPMC•Pittsburgh, PA

11d•Onsite

About The Position

UPMC is hiring a full-time Access Lead for its Pediatric ENT office at UPMC Children's Hospital. The Division of Pediatric Otolaryngology provides diagnostic and treatment services for diseases of the ear, nose, and throat, including ear surgery, ear tube placement, tonsil and adenoid removal, and sinus surgery. The division also offers testing for nasal and eustachian tube function and audiologic examinations, and arranges ear, nose, and throat surgeries. The Access Lead provides day-to-day leadership and operational support for the Pediatric Otolaryngology access team. The role helps maintain consistent scheduling operations, supports staff with scheduling and access-related questions, assists with workflow management and issue resolution, and coordinates among the access team, clinical staff, providers, and departmental leadership. The schedule is Monday through Friday during daylight hours, with no evenings, weekends, or holidays required. Previous experience in a medical office is highly preferred.

Requirements

High school diploma or GED and at least 3 years of experience in a related fiscal, admissions, or registration function; or an associate degree and 1 year of experience; or an equivalent combination of education and experience.
Medical terminology knowledge.
Experience with third-party health care coverage and a strong understanding of managed care regulations.
Strong interpersonal, organizational, and communication skills.
Ability to remain professional and courteous when handling sensitive issues and stressful circumstances.
Ability to problem-solve effectively and make independent decisions.
Prior experience using personal computers and various office equipment.
Knowledge and skills to provide care and/or interact appropriately with patients of all ages, including the ability to assess patient-status data and identify age-specific requirements.
Ability to provide care as described in the department's policies and procedures.
Act 31 Child Abuse Reporting certification, with renewal.
Act 33 clearance, with renewal.
Act 34 clearance, with renewal.
Act 73 FBI Clearance, with renewal.

Nice To Haves

Previous experience working in a medical office is highly preferred.

Responsibilities

Support UPMC core values and guiding principles, follow departmental policies, procedures, and goals, and interact with dignity and respect.
Advise clinical staff when a referral to a participating health care facility may be appropriate.
Serve as an advocate, resource, troubleshooter, and designated leader at specific work sites; represent management and make decisions within the role's authority.
Monitor patient flow and respond to changes in workload, patient volume, and staffing levels by planning services accordingly.
Work with revenue reports within established time frames and take action to support a successful billing process.
Ensure precertification requirements are met before treatment.
Work with clinical staff and ancillary departments to resolve reimbursement issues.
Train and orient new staff to the department work area and provide ongoing education and communication as needed.
Provide management with regular feedback about personnel, departmental issues, and concerns within areas of direct responsibility.
Update patient demographic and insurance information in the system as needed.
Verify insurance benefit information with available carriers through an electronic verification system or by telephone when not previously completed.