Patient Svcs Representative- UPMC Optical Shop

UPMC; Pittsburgh (Allegheny County); On-site; USD 32,000 - 54,000; Full time

Job summary

UPMC is hiring a Patient Services Representative for the Optical Shop at 3606 Forbes Avenue, Pittsburgh, PA 15213. This full-time role runs Monday through Friday, 8:00 a.m. to 4:30 p.m. with occasional flexibility until 5:00 p.m. to support clinic operations.

The position serves as the first contact for patients, handling check-in/check-out, scheduling, insurance verification, claims processing, payments, and portal enrollment. Travel to satellite locations is required 25–50% of the time.

Qualifications

• High school diploma or equivalent required.
• Two years of experience in a medical/billing/customer service role preferred.
• Knowledge of medical terminology preferred.
• Experience with Epic/Medipac or other health records systems preferred.

Responsibilities

• Greet patients and manage check-in/check-out processes.
• Verify insurance eligibility and process claims.
• Schedule appointments and coordinate follow-ups; answer phones and collect payments.
• Assist with patient education and materials and promote MyUPMC portal.

Skills

Customer service

Communication

Multitasking

Microsoft Office

Education

High school diploma or equivalent

Tools

Epic

Medipac

Health records systems

Job description

UPMC is hiring a Patient Services Representative to support the UPMC Optical Shop at 3606 Forbes Avenue, Pittsburgh, PA 15213. This full-time position works Monday through Friday from 8:00 a.m. to 4:30 p.m., with occasional flexibility until 5:00 p.m. to support clinic operations, physician schedules, or optical shop coverage. As the first point of contact for patients, the Patient Services Representative plays a vital role in delivering an exceptional patient experience by greeting patients, determining the reason for their visit, managing check-in and check-out processes, scheduling appointments and follow-up visits, verifying insurance eligibility, processing claims, answering phones, and collecting payments. This position requires 25-50% travel to other UPMC Vision Institute satellite locations as needed for provider coverage and operational support. The role is highly collaborative and offers the opportunity to cross-train and assist with ophthalmic technician and optical responsibilities during staff absences or PTO, making it an excellent opportunity for individuals who enjoy working in a fast-paced, team-oriented environment while expanding their skills within vision care services.

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
• 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