.

Veteran Care Representative Job ID:

6864115411

Status:

Full-Time

Regular/Temporary:

Regular

Shift:

Day Job

Facility:

UPMC Pinnacle

Department:

Veteran SVC

Location:

409 South Second Street, Harrisburg, PA

Union Position:

No

Salary Range:

$ 19.33-29.01 USD Join our team of Life Changers! UPMC is hiring a Full-Time, Veteran Care Representative to support the office in Harrisburg. Looking to add someone who is customer driven, has experience with completing referrals, knowledge of Veteran Affairs and has a passion to serve our Veterans to this dynamic team. We are experts dedicated to coordinating veteran health care and bridging the gap between VA health system and UPMC. Hours are Monday-Friday between 7:00am-7:00pm. Weekends and evenings would be to assist with a few events throughout the year. Manager will discuss further during the interview. Once fully trained and approved by your manager, this position offers a hybrid schedule of 50% in the office and 50% at home! Excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today!

Responsibilities:

Manages incoming calls from clinics, patients, and VA Medical Centers, in-basket messages, and emails on a timely basis. Receives referrals from VA Medical Centers. Conducts review of documentation ensuring all aspects of required documentation are present. Requests additional required documents as needed. Processes all aspects of referrals. Updates all insurance information, demographics, and billing information. Schedules appointments across all service lines. Accurately documents all aspects of care coordination through the EMR, Teams Tracker, and portal with patients and staff. Maintains referral log accurately and utilizes such to accurately inform VA medical centers and patients of accurate locations of services to include TIN/NPI. Assigns referrals to future appointments, adjusts filing orders, advises of benefits to patients, adds permanent comments in chart, coordinates directly with the community VA medical centers for care through the utilization of Request for Services forms in concert with the requesting department. Coordinates with external and independent healthcare providers when veterans are utilizing shared VA authorizations. Reviews procedures requested by agencies regarding coverage based on CPT coding. Returns required information for approval, next steps, or declination by the VA medical center. Supports service line staff with claim edit work queue errors. Assists patients with billing questions related to referrals and communicates patient billing inquiries to the Professional or Hospital Billing Office. Assists veteran in enrolling in VA coverage through the coordination with embedded Veterans Affairs medical center community liaisons. Communicates issues to service lines and supervisors as necessary regarding coverage. Assist in submitting emergency and inpatient authorization requests. Performs other duties as assigned.

Qualifications:

High School diploma required. Additional training in a medical setting or field with a knowledge of basic medical terminology is preferred. Four years of experience working in a health care environment preferred or an equivalent combination of education and experience. Strong interpersonal and communication skills, and computer literacy/data entry skills are required. High level of independence required in problem solving activities. Strong organizational skills that will generate efficiency & effectiveness. Adaptable to change. Ability to handle multiple tasks in a fast-paced environment & function independently. Must be able to prioritize referrals. Ability to analyze issues objectively & provide workable solutions & implement those actions with support of supervisory team. Team player, flexible, and innovation oriented are ideal.

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