Patient Access & Financial Clearance Specialist

UPMC; Mechanicsburg (Cumberland County); On-site; USD 36,000 - 48,000; Full time

Job summary

UPMC in Mechanicsburg is seeking a Patient Access professional to coordinate all phases of the revenue cycle from scheduling and registration to referral and denial management. You will ensure accurate ADT/hospital system registration, verify insurance eligibility, and collect patient payments at the point of service.

This role emphasizes patient-centered service, HIPAA compliance, and collaboration with clinical partners to maintain data integrity and timely financial communication.

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.

Job description

UPMC in Mechanicsburg is seeking a Patient Access professional to coordinate all phases of the revenue cycle from scheduling and registration to referral and denial management. You will ensure accurate ADT/hospital system registration, verify insurance eligibility, and collect patient payments at the point of service.

This role emphasizes patient-centered service, HIPAA compliance, and collaboration with clinical partners to maintain data integrity and timely financial communication.