ED Patient Svcs Representative- UPMC Community Osteopathic, Casual

UPMC; Colonial Park (PA); On-site; USD 32,000 - 46,000; Full time

Job summary

UPMC in Pennsylvania is seeking a Patient Access coordinator to oversee registration and ADT-related activities within the revenue cycle. You will reconcile the ED tracking board, ensure accurate hospital ADT entries during downtime, and assist with insurance eligibility and patient financial discussions.

Responsibilities include collecting payments, verifying demographics, obtaining consents, and maintaining HIPAA-compliant confidentiality while delivering a warm, professional patient

Qualifications

• Reconcile and maintain the First Net ED Tracking Board and Hospital ADT systems.
• Register patients accurately in ADT/clinical systems during downtime and monitor data integrity.
• Serve as the central resource for ADT registration support during evenings, weekends and holidays.
• Confirm insurance eligibility and coordinate benefits for seamless billing.
• Counsel patients on insurance coverage and expected financial liability.
• Collect and record patient payments (co-pays, deductible, co-insurance) at the point of service.
• Maintain HIPAA-compliant confidentiality and professional patient interactions.

Responsibilities

• Reconcile and maintain the First Net ED Tracking Board and Hospital ADT system.
• Register patients accurately in ADT/clinical systems during downtime and monitor data integrity.
• Serve as the central resource for ADT registration support during evenings, weekends and holidays.
• Confirm insurance eligibility and coordinate benefits for seamless billing.
• Counsel patients on insurance coverage and expected financial liability.
• Collect and record patient payments (co-pays, deductible, co-insurance) at the point of service.
• Maintain HIPAA-compliant confidentiality and professional patient interactions.

Job description

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.