Emergency Department Patient Services Representative

UPMC; Waynesburg (Greene County); On-site; USD 38,000 - 46,000; Full time

Job summary

UPMC in the United States is seeking a patient access professional to coordinate all phases of the revenue cycle, from scheduling and registration to referral and denial management. This role requires handling registration, insurance verification, and financial counseling with a patient-centered approach.

You will work in a busy hospital setting, ensuring data accuracy, HIPAA compliance, and seamless communication with clinical partners.

Qualifications

• Excellent interpersonal, written and verbal communication skills required.
• Strong typing skills and proficient in PC-based applications.
• Experience with patient access, billing or scheduling is preferred.
• Knowledge of medical terminology and managed care regulations is preferred.

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 downtime with monitoring and reconciliation of every patient for accuracy.
• Confirms insurance eligibility and coordination of benefits to support seamless billing.
• Counsels patients regarding insurance coverage and expected financial liability; collects payments such as co-pays and deductibles on the day of service.
• Maintains HIPAA compliance and protects patient confidentiality in all communications.
• Obtain and update demographic and insurance information; perform timely patient interview and bedside registration.
• Ensure proper documentation and signatures for consent to treat and financial responsibility.

Skills

Interpersonal communication

Verbal communication

Written communication

Typing skills

Customer service

Education

High School diploma or equivalent

Tools

PC-based applications

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.

• Hours per week: Full Time/ 40 hours per week Primary day shift, between the hours of 6am and 6pm
• Shift time: Varied shifts (12 hr. shifts being 6a-630 or 6p-6a: 10 hr. shifts being 6a-430p or 7a to 5:30p or 730a-6pm: 8-hr shifts being 7a-330p, 7:30a to 4pm, or 9:30 a-6p: half shifts being 7a-11a)
• Days: Varied days, evenings, Rotational weekends, and holidays.

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: UPMC Greene (350 Bonar Avenue, Waynesburg, Pa 15370)
• Hours per week: Full Time/ 40 hours per week Primary day shift, between the hours of 6am and 6pm
• Shift time: Varied shifts (12 hr. shifts being 6a-630 or 6p-6a: 10 hr. shifts being 6a-430p or 7a to 5:30p or 730a-6pm: 8-hr shifts being 7a-330p, 7:30a to 4pm, or 9:30 a-6p: half shifts being 7a-11a)
• Days: Varied days, evenings, Rotational weekends, and holidays.

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