Patient Services Representative- UPMC West Shore, Full-time, Day Shift

UPMC; Mechanicsburg (Cumberland County); On-site; USD 21,000 - 30,000; Full time

Job summary

UPMC is seeking a Patient Services Representative in Mechanicsburg, PA to welcome patients, collect copayments, verify insurance, and guide patients through self-arrival technology. You will schedule follow-up appointments and connect patients to financial advocacy resources as needed.

A high school diploma and experience in customer service or medical billing are preferred. The role supports service excellence across physician practices, hospitals, and outpatient services and includes

Qualifications

• Two years of experience in a medical, billing, fiscal or customer-service role preferred.
• Completion of high school diploma or equivalent required.
• Experience with Medipac or Epic systems preferred.
• Strong customer-service and communication skills.

Responsibilities

• Greet patients warmly upon arrival.
• Guide patients in using self-arrival technology or check in at desk.
• Collect copayments and other payments at point of service.
• Verify and update patient registrations at checkout.
• Schedule follow-up appointments.
• Connect patients to resources for ancillary services.
• Assist patients in navigating the healthcare system with clear instructions.
• Follow up on unresolved questions to ensure continuity of care.
• Ensure service recovery and take action to meet UPMC Experience standards.
• Register patients in Biometrics program and explain benefits.
• Promote MyUPMC patient portal and assist with registration.
• Explain financial responsibility and connect to advocacy resources.
• Verify insurance benefits with carriers via online verification systems or phone.
• Obtain signature of patient or family member for consent to treatment and HIPAA compliance.
• Triage and distribute calls to appropriate areas.
• Assist with admin duties like scanning and faxing.
• Stay informed on navigation of the UPMC Patient Portal and communicate portal use to patients.
• High school diploma or equivalent is required.
• Experience with PC-based applications and typing skills preferred.
• Two years in medical/billing/customer service preferred.
• Knowledge of medical terminology preferred.
• Prior experience with health records systems preferred.

Skills

Customer service

HIPAA compliance

Phone handling

Data entry

Biometrics enrollment

MyUPMC portal navigation

Education

High school diploma or equivalent

Tools

Medipac

Epic

Job description

Purpose

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.

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.

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.
• 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 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.
• Stays informed on navigation and usability of UPMC Patient Portal; confidently and clearly communicate what patients need to know to navigate the Portal to ensure a smooth experience and continued access to health information and care services.
• 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