What are the responsibilities and job description for the Transplant Credit Analyst position at UPMC?
Purpose:
Do you have experience with medical benefits? Are you interested in counseling patients on their financial obligations? UPMC is hiring a full-time Transplant Credit Analyst to assist the Pre-Arrival department. This role works Monday through Friday from 8:00am until 4:30pm, as well as a rotating department pager coverage. Pager coverage is effective for 1 week and includes off-hour coverage Monday through Friday (4:00pm until 8:00am) and 24-hour Saturday, Sunday, and holiday coverage. This position is eligible to work from home after training, however, travel on-site to meet with patients in clinic is required as needed (approximately once per week).
The Transplant Credit Analyst is responsible for the timely and accurate financial verification and analysis of all potential transplant patients. The employee is responsible for the detailed verification of inpatient and outpatient medical benefits, as well as specific transplant and transplant-related coverage. Based on the information gathered from such sources as third-party insurers, physicians, hospital personnel, governmental agencies, lawyers, and patients, the Transplant Credit Analyst is responsible for making sound decisions related to the financial clearance of potential transplant patients. The employee must be dependable, professional, have strong interpersonal skills, be an excellent communicator, and have the ability to prioritize the workload.
If you are up for the challenge of working with medical benefits and insurance, apply today!
Responsibilities:
- Attend all mandatory training and meetings as defined in UPMC and Revenue Cycle Policies and Procedures manuals.
- 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.
- Perform the financial clearance on potential transplant candidates and donors by obtaining transplant related benefits for Hospital, Outpatient, Physician and Pharmacy services based on the Credit Analyst Procedure Manual.
- Perform benefit education and financial counseling on potential out of pocket transplant related expenses with patients during clinic appointments and subsequent discussion via telephone on an as needed basis.
- Monitor and update candidate and donor information in the appropriate source systems on a routine basis which may affect the financial status of the patient.
- Maintain departmental productivity levels.
- Obtain and maintain a complete understanding and working knowledge of all relevant systems used by the department.
- Maintan compliance with quality standards.
- Gather and analyze financial data concerning the admission of potential transplant patients from such sources as physicians, coordinators and hospital departments.
- Perform all duties and responsibilities according to the philosophy and standards of UPMC, embracing the system-wide core competencies. Adhere to the UPMC and Revenue Cycle Standards of Conduct.
- Act as a liaison between the various transplant offics, Quality payer services liaison and Contracting.
Salary : $21 - $34
