Patient Services Representative, Pediatric Pulmonary

UPMC; Pittsburgh (Allegheny County); On-site; USD 36,000 - 48,000; Full time

Job summary

UPMC University of Pittsburgh Physicians is seeking a flex-full time Patient Services Representative to join our Pediatric Pulmonary team. The role focuses on welcoming patients, guiding them through self-check-in options, educating on copayments, and scheduling follow-ups while ensuring a compassionate UPMC Experience.

Responsibilities include assisting with administrative tasks, verifying insurance, collecting payments, and connecting patients to financial advocacy resources as needed, all

Qualifications

• Customer service experience in healthcare or front desk preferred.
• Understanding of patient billing and copay collections.
• Knowledge of HIPAA rules and patient privacy requirements.
• Ability to educate patients about financial obligations and services.

Responsibilities

• Welcome patients at arrival and assist with check-in at desk or self-arrival technology.
• Schedule follow-up appointments and coordinate with clinical staff.
• Collect copayments and other payments at the point of service.
• Verify insurance benefits and discuss financial responsibilities with patients.
• Promote and assist with MyUPMC portal enrollment and usage.
• Triage and direct calls to appropriate departments and staff.

Skills

Customer service

Cash handling

HIPAA compliance

Patient education

Communication skills

Education

High school diploma or equivalent

Tools

MyUPMC portal

Biometrics enrollment

Job description

UPMC University of Pittsburgh Physicians is looking for a flex-full time Patient Services Representative to join their dedicated Pediatric Pulmonary team! 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 Representative 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.

This is a flex full time role, working daylight shifts, Monday through Friday.

UPMC offers a generous benefits package, an expansive total rewards package, opportunity to grow your career and much more.

Responsibilities:

• Help 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.
• Assist with administrative duties in the office including but not limited to scanning of medical records and faxing
• Guide patient through use of self-arrival technology or check-in patient at desk depending on patient preference
• Schedule or connect patient to resources to schedule for ancillary services at checkout
• 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.
• Assist patients in education of financial responsibility and connect them to advocacy resources as needed
• 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
• Confirm/verify insurance benefits with the appropriate carrier via online verification systems or telephone inquiries
• Promote MyUPMC patient portal and assist patients in registration when applicable
• Collect copayments and any other applicable patient payments at the point of service
• Provide a warm greeting for all patients
• Register patients in Biometrics (fingerprint recognition) program and explain benefits
• Confirm and/or update patient registration information at checkout
• Appropriately distribute / triage phone calls to other areas and / or clinical providers
• Schedule follow-up appointments within the practice at checkout