ED Patient Svcs Representative- UPMC West Shore, Part-Time Evening Shift.

UPMC; Mechanicsburg (Cumberland County); On-site; USD 34,000 - 48,000; Full time

Job summary

UPMC is seeking a Patient Access Registrar to coordinate patient access across the revenue cycle, from scheduling to registration and denial management. You will reconcile ADT entries, verify insurance, and collect payments while maintaining HIPAA privacy and providing a warm patient experience.

The role requires high school completion and 2 years of healthcare experience (or 1 year in medical/billing) preferrred, with strong communication and the ability to work under pressure in a hospital

Qualifications

• High School diploma or equivalent.
• Experience in healthcare or medical/billing settings preferred.
• Strong interpersonal, written and verbal communication skills.

Responsibilities

• Register patients at bedside and ensure accurate demographic and insurance data.
• Confirm insurance eligibility and discuss patient financial responsibility.
• Counsel patients on coverage and expected liability; collect payments (co-pays, co-insurance, deductibles).
• Maintain HIPAA compliance and protect patient confidentiality.
• Serve as a resource for ADT registration and coordinate with clinical partners.

Skills

Interpersonal skills

Verbal communication

Written communication

Typing speed

HIPAA awareness

Education

High School Diploma

Tools

MS Office

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.

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.
• 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.
• Medical Terminology, third party health care coverage experience and strong understanding of managed care regulations are preferred.
• Experience with personal computer based applications, other various office equipment and proficient typing skills.
• Excellent interpersonal, written and verbal communication skills are required.
• Initiative to work productively with minimal supervision.
• Able to work well under pressure.

Licensure, Certifications, and Clearances

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran