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

UPMC; Carlisle (Cumberland County); Vor Ort; USD 22.000 - 33.000; Vollzeit

Zusammenfassung

UPMC is seeking a Patient Access representative to coordinate patient access across scheduling, registration, referrals and denial management. You will work under department leadership to ensure accurate data capture and timely service.

Key duties include registering patients in the hospital ADT, verifying demographics and insurance, collecting payments, and maintaining confidentiality under HIPAA. You will interact with patients warmly and support core values of Your Care.

Aufgaben

• Coordinate patient access for all phases of the revenue cycle from scheduling and registration up to referral and denial management.
• Reconcile and maintain the First Net Emergency Department Tracking Board and Hospital ADT system.
• Ensure accurate registration into hospital ADT and clinical systems during downtime with vigilant data integrity.
• Confirm insurance eligibility and coordinate benefits for seamless billing.
• Counsel patients on insurance coverage and potential financial liability.
• Collect and record patient payments including co-pays, co-insurance, and deductibles at the point of service.

Jobbeschreibung

Purpose:
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:

• 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.
• Confirms insurance eligibility, accountable for third party reimbursement and coordination of benefits to support 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
• 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.
• Obtains or updates necessary demographic and insurance related information.
• Works independently to perform a timely patient interview and registration for services at the bed side.
• Generates and completes all applicable forms and necessary communications.
• Obtains 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.
• Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances.