ED Patient Svcs Representative- UPMC CGOH, Full-time, Day Shift

University of Pittsburgh Medical Center • Harrisburg, PA

117d • $18 - $28

About The Position

The ED Patient Services Representative at UPMC CGOH functions under the general direction of department leadership in Patient Access. This role coordinates patient access for all phases of the revenue cycle, from scheduling and registration to referral and denial management.

Requirements

• Completion of High School graduate or equivalent.
• 2 years' experience in a healthcare or 1 year in a medical/billing/fiscal setting or 6 months in a UPMC Patient Access position preferred.
• Medical Terminology, third party health care coverage experience and strong understanding of managed care regulations are preferred.
• Experience with personal computer based applications, other various office equipment and proficient typing skills.
• Excellent interpersonal, written and verbal communication skills are required.
• Initiative to work productively with minimal supervision.
• Able to work well under pressure.

Responsibilities

• Responsible for reconciliation and maintenance of First Net Emergency Department Tracking Board and Hospital ADT system.
• Accountable for accurate registration into hospital ADT and/or clinical system during system downtime with monitoring and reconciliation of every patient for accuracy.
• Central Resource for all ADT registration and problem resolution during evenings, weekends and holidays.
• Confirms insurance eligibility, accountable for third party reimbursement and coordination of benefits to support a seamless billing process.
• Counsels patients regarding insurance coverage and expected financial liability.
• Collects and records patient payments including co-payments, co-insurance, and deductibles on the day of service.
• Provides a warm greeting for all patients.
• Supports and contributes to UPMC core values and guiding principles of Your Care.
• Abides 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.
• Proper patient identification to start clinical record (utilizing biometrics if applicable).
• Facilitator of financial gatekeeping with clinical partners.
• Maintains a close working relationship with clinical partners to assure continual open communication with pertinent information.
• Obtains or updates necessary demographic and insurance related information.
• Works independently to perform a timely patient interview and registration for services at the bedside.
• Generates and completes all applicable forms and necessary communications.
• Obtains applicable signature for consent to treat and financial responsibility, while following all HIPAA rules and regulations.
• Ability to remain calm and professional when faced with stressful situations, while simultaneously prioritizing all work activities.
• Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED