Emergency Department Patient Services Representative

UPMC; New Castle (PA); Hybride; USD 34 000 - 42 000; Plein temps

Résumé du poste

UPMC Jameson is seeking an Emergency Department Patient Services Representative to support patient access and registration in a night-setting. The role requires accurate data entry, insurance verification, and compassionate patient interactions to promote a positive UPMC experience.

You will reconcile ED records, assist with billing responsibilities, and coordinate with clinical partners to ensure smooth admissions while maintaining HIPAA standards and patient confidentiality.

Qualifications

• Proven ability to deliver courteous patient service.
• Strong communication and listening skills.
• Understanding of HIPAA privacy rules and patient confidentiality.

Responsabilités

• Reconcile and maintain the Emergency Department Tracking Board and ADT system.
• Register patients into ADT and clinical systems during downtime with accurate data.
• Serve as central resource for ADT registration and problem resolution evenings, weekends and holidays.
• Confirm insurance eligibility and coordinate benefits to support billing processes.
• Counsel patients on insurance coverage and expected financial liability.
• Collect and record patient payments including co-pays, co-insurance, and deductibles.

Connaissances

Customer service

Communication

HIPAA compliance

Outils

ADT system

Hospital billing system

Description du poste

Purpose:
Do you enjoy providing customer service? Do you have healthcare experience? UPMC Corporate Services is hiring a full-time Emergency Department Patient Services Representative to support UPMC Jameson. This role would work 36 hours per week and would work varying days, weekends, and holidays from 7:00pm until 7:30am.

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

If you have strong customer services skills and are looking for a position that ensures that patients and family members have the desired UPMC Experience,

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.