Emergency Department Patient Services Representative

University of Pittsburgh Medical Center•Jamestown, NY

28d•Onsite

About The Position

UPMC Corporate Services is hiring a casual Emergency Department Patient Services Representative to support the Patient Access department located at UPMC Chautauqua. For a schedule, we are looking for individuals with a flexible schedule and the ability to work a variety of shifts and days. Based on department needs you will be scheduled, there are no hours guaranteed each week. An Emergency Department Patient Services Representative is responsible for welcoming patients upon arrival and promoting the usage of new and emerging consumer-friendly technologies. In this role you will educate patients on their copayments and financial obligations, collect payments when applicable, and connect patients to financial advocacy resources when appropriate. You will also work to update patients' demographics and insurance coverage information, collect consent signatures and promote an overall culture of service excellence.

Requirements

Completion of High School graduate or equivalent.
Excellent interpersonal, written, and verbal communication skills are required.
Initiative to work productively with minimal supervision.
Able to work well under pressure.

Nice To Haves

One year of experience in a healthcare setting or six months in a UPMC Patient Access position is preferred.
Medical Terminology, third-party healthcare coverage experience, and a strong understanding of managed care regulations are preferred.
Experience with personal computer-based applications, other various office equipment, and proficient typing skills.

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.
Confirm insurance eligibility, accountable for third party reimbursement and coordination of benefits to support a seamless billing process.
Counsel patients regarding insurance coverage and expected financial liability. Collect and records patient payments including co-payments, co-insurance, and deductibles on the day of service.
Provide a warm greeting for all patients. Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide 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.
Accountable for maintaining a close working relationship with clinical partners to assure continual open communication with pertinent information obtained such as any alias name changes, information blocks to prevent release of information, and behavioral health insurance payors to assure timely data integrity of accounts.
Obtain or update necessary demographic and insurance related information.
Work independently to perform a timely patient interview and registration for services at the bed side.
Generate and complete all applicable forms and necessary communications. Obtain applicable signature for consent to treat and financial responsibility, along with signatures on any required forms, while following all HIPAA rules and regulations and maintaining patient confidentiality.
Ability to remain calm and professional when faced with stressful situations, while simultaneously prioritizing all work activities.
Anticipate and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances.