Patient Access Representative

UPMC; Altoona (PA); On-site; USD 30,000 - 46,000; Full time

Job summary

UPMC Altoona is seeking friendly Patient Access Representatives to join our Emergency Department, OP1, Hospital, and Station Medical Center teams. These full-time roles help patients start their care journey with accurate registration, insurance verification, and clear explanations of financial responsibilities.

As a PAS Representative you will work with clinicians and staff to gather patient information, verify eligibility, and expedite scheduling and referrals while maintaining compassionate

Qualifications

• High School Diploma or GED required.
• Two years of experience in a healthcare role or one year in a medical/billing/fiscal setting preferred.
• Proficiency with Microsoft Office products preferred.

Responsibilities

• Coordinate patient access for all phases of the revenue cycle from scheduling and registration to referral and denial management.
• Register patients and verify insurance eligibility and demographic information.
• Explain financial responsibilities and obtain necessary authorizations where applicable.
• Gather and record information to support data collection, billing, and reimbursement.
• Collaborate with medical staff and insurance carriers to facilitate patient care and payment processes.

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Patient Access Representative

UPMC Altoona has immediate openings for Patient Access Representatives for the Emergency Department, OP1, the Hospital, and the Station Medical Center. We are looking for friendly faces to help provide excellent experiences to our patients at UPMC!

If you have a friendly personality and like to have a positive impact on someone’s day – this could be the perfect position for you! We currently have full-time opportunities available.

Purpose:

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.

Responsibilities:

• The PAS Representative works directly with medical staff, nursing, ancillary departments, insurance carriers, and other external professionals to assist patients in obtaining health care and financial services.
• Reporting to the Manager/Supervisor, this position is responsible for completing the registration and insurance eligibility processes with Patient Access Services and creating the first impression of the Hospital's services to patients, family members, and other external customers.
• Additional responsibilities include interviewing patients/guarantors to obtain demographic and confidential clinical and financial information necessary to appropriately schedule, register, obtain treatment authorizations, and verify insurance eligibility and corresponding benefit levels.
• The Patient Access Services (PAS) Representative must have a working knowledge of the managed care environment, third-party reimbursement, hospital and community services, and hospital and healthcare policies.
• All information is entered into the Hospital's computer system to expedite data collection, billing, and Hospital reimbursement.
• Critical to this position is the ability to gather and record all appropriate information that lays the groundwork for the remaining or future fiscal efforts of the Hospital
• Also works as a team member and positively accepts change throughout the Hospital.
• Critical to this position is understanding the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Hospital.
• The PAS Representative must be capable of articulating information in a manner that patients, guarantors, and family members know what to expect and what their financial responsibilities will ultimately be.
• High School Diploma or GED required
• Two years of experience in a healthcare role or one year in a medical/billing/fiscal setting is preferred
• Proficiency with Microsoft Office products is preferred
• Experience Required: None

Licensure, Certifications, and Clearances:

• Act 34
• UPMC is an Equal Opportunity Employer/Disability/Veteran

Why choose UPMC Altoona?

• An incomparable, affordable benefits package (found to be 20% higher in value than other healthcare employers in our market!)
• Generous vacation accrual Tuition assistance to further your education