Emergency Department Patient Services Representative

UPMC; Lock Haven (Clinton County); On-site; USD 21,000 - 30,000; Part time

Job summary

UPMC is seeking a Part-time Patient Access specialist in Lock Haven, PA. You will coordinate patient access across scheduling, registration, referral and denial management under department leadership, with shifts across 7a-3:30p, 3p-11:30p, and 11p-7a at least monthly.

Responsibilities include maintaining the ADT system, verifying insurance eligibility, collecting payments, and ensuring HIPAA-compliant patient data.

Qualifications

• HS diploma or equivalent required.
• 2 years' healthcare experience OR 1 year in medical/billing OR 6 months in a UPMC Patient Access position preferred.
• Medical Terminology and understanding of managed care regulations are preferred.

Responsibilities

• Reconcile and maintain First Net Emergency Department Tracking Board and Hospital ADT system.
• Ensure accurate registration into ADT/clinical systems during downtime with monitoring and reconciliation of every patient for accuracy.
• Counsel patients regarding insurance coverage and expected financial liability; collect payments including co-pays, co-insurance and deductibles.
• Maintain patient privacy and HIPAA compliance; obtain signatures and consent to treat and financial responsibility.
• Communicate with clinical partners to ensure open communication and data integrity of accounts.
• Obtain or update demographic and insurance information; perform timely patient interviews and bedside registration.
• Complete all forms and communications, obtaining necessary signatures for treatment and financial responsibility.

Education

High School diploma or equivalent

Job description

Job Summary:

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.

• Work Location/ Address: 24 Cree Dr. Lock Haven PA 17745
• Hours per week: Part-time limited at least 12 hours per week
• Shift times: 7a-3:30p, or 3p-11:30p, 11p-7a at least once per month
• Days: Monday through Friday

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 patientsSupport 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