Patient Services Representative- Ophthalmology, Children's Hospital

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 32,000 - 42,000; Full time

Job summary

UPMC Children's Hospital of Pittsburgh is seeking a Patient Services Representative to support the Division of Pediatric Ophthalmology, Strabismus, and Adult Motility at 4401 Penn Avenue, Pittsburgh, PA 15224.

This full-time role runs Monday–Friday, 8:00 AM–4:30 PM, with one work-from-home day weekly, no weekends or holidays, and involves welcoming patients and managing scheduling, medical records, and financial responsibilities.

Qualifications

• Strong communication, organizational, and customer service skills.
• Ability to guide patients through self-arrival technology or desk check-in.
• Experience with insurance verification and medical records processes.

Responsibilities

• Greet patients warmly and guide them through check-in or self-arrival technology.
• Collect copays and payments at point of service.
• Confirm/update registration information at checkout and schedule follow-ups.
• Assist with insurance verification and consent processes while complying with HIPAA.
• Triaging calls and handling administrative duties like scanning medical records.

Skills

Communication skills

Customer service

Organizational skills

Attention to detail

Tools

MyUPMC portal

Biometrics enrollment

Online verification systems

Job description

UPMC Children's Hospital of Pittsburgh is hiring a Patient Services Representative to support the Division of Pediatric Ophthalmology, Strabismus, and Adult Motility at 4401 Penn Avenue, Pittsburgh, PA 15224. This full-time position works Monday through Friday from 8:00 AM to 4:30 PM, offers one work-from-home day per week, and requires no weekends or holidays. The Division is comprised of four clinic locations and one administrative office, all working collaboratively to provide exceptional care to patients and families through clinical expertise, research initiatives, and outstanding administrative support. In this role, you will serve as a key point of contact for patients, primarily responsible for patient scheduling, scheduling pool management, and medical records management, while ensuring a positive patient experience and supporting the daily operations of a busy pediatric ophthalmology practice. The ideal candidate will possess strong communication, organizational, and customer service skills and enjoy working in a fast-paced, team-oriented healthcare environment

Responsibilities:

• provide a warm greeting for all patientsGuide patient through use of self-arrival technology or check-in patient at desk depending on patient preferenceCollect copayments and any other applicable patient payments at the point of serviceConfirm and/or update patient registration information at checkoutSchedule follow-up appointments within the practice at checkoutSchedule or connect patient to resources to schedule for ancillary services at checkoutHelp patients navigate the healthcare system by providing clear and understandable instructions. Provides follow-up to unresolved patient questions or needs to ensure the appropriate continuity of care.Understands 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 benefitsPromote MyUPMC patient portal and assist patients in registration when applicable
• Assist patients in education of financial responsibility and connect them to advocacy resources as neededConfirm/verify insurance benefits with the appropriate carrier via online verification systems or telephone inquiriesObtain signature of patient or family member for consent to treatment and financial responsibility following the Health Insurance Portability and Accountability Act (HIPAA) rules and regulationsAppropriately distribute / triage phone calls to other areas and / or clinical providersAssist with administrative duties in the office including but not limited to scanning of medical records and faxingStays informed on navigation and usability of UPMC Patient Portal; confidently and clearly communicates what patients need to know to navigate the Portal to ensure a smooth experience and continued access to health information and care services.