Patient Services Representative

UPMC; Pittsburgh (Allegheny County); On-site; USD 35,000 - 50,000; Full time

Job summary

UPMC St. Margarets in Pittsburgh seeks a full-time Patient Services Representative to greet patients, collect payments, verify insurance, and schedule follow-ups across practice sites.

The role emphasizes clear communication, patient education, and a helpful approach to navigating the healthcare system. You will promote the MyUPMC portal, register patients in biometric programs, and provide information on financial responsibilities.

Qualifications

• High school diploma or equivalent required.
• 2 years of medical/customer service experience preferred.
• Experience with Epic or other health records systems preferred.

Responsibilities

• Greet patients warmly and guide them through check-in or self-arrival options.
• Collect copayments and other applicable payments at service point.
• Verify and update patient registration, demographics, and insurance coverage.
• Schedule follow-up appointments and connect patients with ancillary services as needed.
• Promote MyUPMC portal and assist patients in registration.

Skills

Customer service

Scheduling

Insurance verification

HIPAA compliance

Communication

Education

High School Diploma or equivalent

Tools

Epic EHR

Medipac

MyUPMC portal

Job description

Join our team at UPMC St. Margarets as a Full-Time Patient Services Representative. In this role, you will work 40 hours a week. The shifts will be various 8-hour shifts, anywhere from 5am-6pm, Monday-Friday, with rotating Saturday shifts of 6:30am-3pm.

A Patient Services Representative is responsible for welcoming patients upon arrival, promoting the usage of new and emerging consumer-friendly technologies, educating patients on their copayments and financial obligations and collecting payments when applicable, scheduling subsequent appointments within the continuum of care, connecting patients to financial advocacy resources when appropriate, updating patient's demographics and insurance coverage information, and promoting an overall culture of service excellence. Patient Services Representatives display strong customer service skills that ensure that patients and family members have the desired UPMC Experience at UPMC physician practices, hospitals, and outpatient surgery departments.

Responsibilities

• Provide a warm greeting for all patients. Guide patient through use of self-arrival technology or check-in patient at desk depending on patient preference.
• Collect copayments and any other applicable patient payments at the point of service.
• Confirm and/or update patient registration information at checkout. Schedule follow-up appointments within the practice at checkout. Schedule or connect patient to resources to schedule for ancillary services at checkout.
• Help patients navigate the healthcare system by providing clear and understandable instructions.
• Provide follow-up to unresolved patient questions or needs to ensure the appropriate continuity of care.
• Understand the principles of service recovery and is both empowered and responsible for taking appropriate action to recover from service that does not meet the expectation of the UPMC Experience.
• Register patients in Biometrics (fingerprint recognition) program and explain benefits. Promote MyUPMC patient portal and assist patients in registration when applicable
• Assist patients in education of financial responsibility and connect them to advocacy resources as needed
• Confirm/verify insurance benefits with the appropriate carrier via online verification systems or telephone inquiries.
• Obtain signature of patient or family member for consent to treatment and financial responsibility following the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.
• Appropriately distribute / triage phone calls to other areas and / or clinical providers.
• Assist with administrative duties in the office including but not limited to scanning of medical records and faxing*Performs in accordance with system-wide competencies/behaviors.
• Performs other duties as assigned.
• Completion of high school graduate or equivalent is required.
• Experience with personal computer-based applications, other various office equipment and proficient typing skills are preferred.
• Two years of experience in a medical / billing / fiscal or customer service function is preferred.
• Knowledge of medical terminology is preferred.
• Prior experience with Medipac, Epic, or other health records systems is preferred.

Licensure, Certifications, and Clearances

• ACT 34

UPMC is an Equal Opportunity Employer/Disability/Veteran