Patient Access Specialist I- Pediatric Cardiology, Children's

UPMC•Pittsburgh, PA

13d•Onsite

About The Position

Join our team of Life Changers! UPMC is hiring a full-time Patient Access Specialist I to support the Pediatric Cardiology team/office at the Children's Hospital in Pittsburgh. Shift/Hours: Monday-Friday, daylight shifts from 8:00am - 4:30pm. No weekends or holidays! Opportunities for growth, excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today! About the dept/team: Join the Pediatric Heart Institute, a growing and dynamic division dedicated to delivering exceptional care to pediatric patients and their families. In this role, you will be an integral member of a collaborative scheduling team that supports Pediatric Cardiologists across 15 locations. We are seeking a highly motivated professional who thrives in a fast-paced, high-volume environment, excels at managing multiple priorities, and maintains strong attention to detail while adapting to changing needs. This is an excellent opportunity for someone who enjoys problem-solving, teamwork, and making a meaningful impact on the patient experience.

Requirements

Completion of HS Diploma/equivalent and 1 year of experience in a medical office, customer service, inbound call center (preferred) or other relevant health care setting will be considered
Must have experience with personal computer-based applications, including email and experience with other various office equipment
Must be able to multitask at a high level
Able to interact with a variety of external and internal constituents, including patients, patients' families, internal physicians, referring physicians or their clinical/office staff, insurance companies, nurses
Must be able to learn and apply third party payer guidelines and reimbursement practices
Must be able to maintain confidential information
Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances
Act 31 Child Abuse Reporting with renewal
Act 33 with renewal
Act 34 with renewal
Act 73 FBI Clearance with renewal

Nice To Haves

Associates degree and 6 months of experience in a medical office, customer service, inbound call center (preferred), or other relevant health care setting preferred
Experience with/knowledge of medical terminology and multi-line telephone systems is preferred
Electronic scheduling system experience is preferred
Basic knowledge of health insurance preferred

Responsibilities

Review, verify and enter the patient's demographic information to ensure data integrity.
Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares (single specialty phone room or front desk environment).
Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.
Obtain chief complaints in order to schedule appropriately.
Take incoming calls demonstrating the essential skills documented in the Telephone Courtesy Standards.
Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met.
Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.).
Treat all patients with respect and demonstrates the behaviors learned in the Patient Ambassador Program.
Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.
Work the overflow call list and Audiocare report.
Review and verify the patient's insurance information.
Coordinate access to care for patients within own department or location.
Monitor patient wait list report.
Compile and send new patient packets or flags patient if needs to be completed upon arrival.
Knowledgeable about various reasons for patient calls such as prescription refills, how to triage clinical issues, participating insurances, questions about physicians, etc.
Take responsibility to escalate to appropriate clinical or supervisory personnel when needed, including thorough and accurate documentation of telephone encounter for messaging.
Function at multiple sites as requested by supervisor.
Answer multi-line telephone system. The number of calls taken must be within 90%25 of the daily average calls per day per agent.
Give basic information to patients (directions, parking information, and required preparation for appointment).