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

About the role

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 up to and including referral and denial management.

Responsibilities

• Reconciliation and maintenance of First Net Emergency Department Tracking Board and Hospital ADT system.
• 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, account for third party reimbursement and coordinate benefits to support a seamless billing process.
• 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 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.
• Incorporate acts of dignity and respect in daily interactions.
• Proper patient identification to start clinical record (utilizing biometrics if applicable).
• Facilitate financial gatekeeping with clinical partners.
• Account for maintaining a close working relationship with clinical partners to assure continual open communication with pertinent information 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 bedside.
• 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 respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances.

Requirements

• Completion of 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.

Qualifications

• Medical Terminology.
• Third party health care coverage experience.
• Strong understanding of managed care regulations.
• Experience with personal computer based applications, other 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.

Licensure, Certifications, and Clearances

• Act 34