Emergency Department Patient Services Representative

UPMC; Farrell (Mercer County); On-site; USD 33,000 - 52,000; Part time

Job summary

UPMC Horizon Shenango Valley and Horizon Greenville seek a Casual Emergency Department Patient Services Representative. This role handles patient intake, education on copayments, and connects patients with financial resources.

It requires flexibility for varied shifts, including weekends and holidays, with a minimum weekly availability. The position emphasizes accurate patient data entry, insurance verification, and timely payments, within HIPAA guidelines.

Qualifications

• High school graduate or equivalent.
• 2 years' experience in healthcare or 1 year in medical/billing/fiscal setting or 6 months in a UPMC Patient Access position preferred.
• Strong communication and customer-service skills.
• Knowledge of medical terminology and managed care is preferred.

Responsibilities

• Reconcile and maintain First Net ED Tracking Board and Hospital ADT system.
• Ensure accurate registration into ADT during downtime with monitoring for accuracy.
• Serve as central resource for ADT registration during evenings, weekends, and holidays.
• Verify insurance eligibility and coordinate benefits to support billing.
• Counsel patients regarding insurance coverage and expected financial liability.
• Collect and record patient payments (co-pays, co-insurance, deductibles).
• Provide a warm greeting for all patients and uphold HIPAA standards.

Skills

Customer service

Healthcare experience

Communication skills

Interpersonal skills

Typing skills

Education

High school diploma or equivalent

Tools

First Net ED Tracking Board

Hospital ADT system

Registration software

Job description

Purpose

Do you enjoy providing customer service? Do you have healthcare experience? UPMC Corporate Services is hiring a casual Emergency Department Patient Services Representative to support UPMC Horizon Shenango Valley and Horizon Greenville. A casual employee has no set shift or number of hours, but is scheduled to work as needed. This role would work varying shifts on varying days, weekends, and holidays. The employee would be required to provide availability for a minimum of 1 shift per week and 1 weekend day per month, and the department will schedule them based off their availability and the department needs at both locations. There is potential to work up to 40 hours per week depending on staffing needs.

An Emergency Department Patient Services Representative is responsible for welcoming patients upon arrival and promoting the usage of new and emerging consumer-friendly technologies. They also educate patients on their copayments and financial obligations, collect payments when applicable, and connect patients to financial advocacy resources when appropriate. Additionally, this role updates patient's demographics and insurance coverage information, all while promoting an overall culture of service excellence.

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.
• Confirm insurance eligibility, accountable for third party reimbursement and coordination of 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).
• 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.
• Obtain or update necessary demographic and insurance related information.
• Work independently to perform a timely patient interview and registration for services at the bed side.
• 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.
• Completion of High School graduate or equivalent.
• 2 years' experience in healthcare or 1 year in a medical/billing/fiscal setting or 6 months in a UPMC Patient Access position preferred.
• Medical terminology knowledge, third party health care coverage experience and strong understanding of managed care regulations are preferred.
• Experience with personal computer based applications and 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