ED Patient Svcs Representative- UPMC Carlisle, Evening Shift, Full-Time

Responsibilities

• Reconciles and maintains First Net Emergency Department Tracking Board and Hospital ADT system.
• Maintains accuracy of 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, coordinates third-party reimbursement, and supports 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.
• Absorb and abide by all UPMC departmental policies, procedures, and goals.
• Incorporates acts of dignity and respect in daily interactions.
• Performs patient identification using biometrics if applicable.
• Facilitates financial gatekeeping with clinical partners, maintaining a close working relationship to ensure continual open communication.
• Obtains or updates necessary demographic and insurance-related information.
• Generates and completes all applicable forms and necessary communications.
• Obtains applicable signatures for consent to treat and financial responsibility, while adhering to HIPAA rules and regulations and maintaining patient confidentiality.
• Remains calm and professional when faced with stressful situations, prioritizing all work activities.
• Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc., under all conditions and circumstances.

Qualifications

• 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, various office equipment, and proficient typing skills.
• Excellent interpersonal, written, and verbal communication skills.
• Initiative to work productively with minimal supervision.
• Able to work well under pressure.