ED Patient Svcs Representative- UPMC Carlisle, Limited Part-Time, Day Shift

UPMC•Carlisle, PA

2d•Onsite

About The Position

Functions under the general direction of department leadership in Patient Access. Coordinates patient access for all phases of the revenue cycle, from scheduling and registration through referral and denial management. This is a limited part-time, day-shift position at UPMC Carlisle. The representative supports emergency department and hospital registration operations, verifies insurance eligibility, assists patients with financial information and payments, and works closely with clinical partners to maintain accurate patient records. The role requires professional, respectful interactions and adherence to patient confidentiality, HIPAA requirements, departmental policies, and UPMC values.

Requirements

High school graduation or equivalent.
Experience with personal computer-based applications and various office equipment.
Proficient typing skills.
Excellent interpersonal, written, and verbal communication skills.
Initiative to work productively with minimal supervision.
Ability to work well under pressure.
Act 34 clearance.

Nice To Haves

Two years of experience in healthcare, or one year in a medical, billing, or fiscal setting, or six months in a UPMC Patient Access position.
Medical terminology knowledge.
Experience with third-party health care coverage.
Strong understanding of managed care regulations.

Responsibilities

Reconcile and maintain the First Net Emergency Department Tracking Board and hospital ADT system.
Ensure accurate registration in the hospital ADT and/or clinical system during system downtime, monitoring and reconciling every patient record for accuracy.
Serve as a central resource for ADT registration and problem resolution during evenings, weekends, and holidays.
Confirm insurance eligibility and support third-party reimbursement and coordination of benefits.
Counsel patients regarding insurance coverage and expected financial liability.
Collect and record patient payments, including co-payments, co-insurance, and deductibles, on the day of service.
Provide a warm greeting to all patients.
Support UPMC core values and guiding principles and follow departmental policies, procedures, and goals; incorporate dignity and respect into daily interactions.
Properly identify patients to initiate the clinical record, using biometrics when applicable.
Facilitate financial gatekeeping with clinical partners.
Maintain close working relationships and open communication with clinical partners, including communicating relevant alias name changes, information blocks, and behavioral health insurance payors to support timely account data integrity.
Obtain or update necessary demographic and insurance information.
Independently conduct timely patient interviews and register patients for services at the bedside.
Generate and complete applicable forms and necessary communications.
Obtain signatures for consent to treat, financial responsibility, and other required forms while following HIPAA rules and maintaining patient confidentiality.
Remain calm and professional in stressful situations while prioritizing work activities.
Anticipate and respond to inquiries from patients, visitors, hospital personnel, and government agencies under varying conditions and circumstances.