ED Patient Svcs Representative

UPMC•Harrisburg, PA

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 role provides emergency department registration support, maintains accurate patient and insurance information, assists with financial matters, and communicates with patients, visitors, clinical partners, and other stakeholders while maintaining patient confidentiality and following applicable policies and regulations.

Requirements

Completion of high school or equivalent.
Experience with personal computer-based applications and various office equipment, and 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.
Third-party healthcare coverage experience.
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, including monitoring and reconciliation of every patient record.
Serve as the 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 patients.
Support UPMC core values and guiding principles, follow departmental policies and goals, and demonstrate dignity and respect in daily interactions.
Properly identify patients to initiate clinical records, using biometrics when applicable.
Facilitate financial gatekeeping with clinical partners.
Maintain close working relationships and open communication with clinical partners, including sharing pertinent information such as alias name changes, information blocks, and behavioral health insurance payors to support timely account data integrity.
Obtain or update demographic and insurance-related information.
Independently conduct timely patient interviews and register patients for services at the bedside.
Generate and complete applicable forms and communications; obtain signatures for consent to treat, financial responsibility, and other required forms while following HIPAA requirements and maintaining confidentiality.
Remain calm and professional in stressful situations while prioritizing work activities.
Anticipate and respond to inquiries from patients, visitors, hospital personnel, government agencies, and others under varying conditions.