Patient Access Representative

The UPMC Patient Arrival Department is hiring several full-time Patient Access Representative roles to support patient registration at our UPMC hospitals and clinics in Allegheny County.In this entry-level role, you will check in patients for our outpatient centers by collecting their insurance and demographic information. In this role, you could be scheduled to work at any UPMC hospital or clinic within the county. This would include a few locations just outside of Allegheny County. Days will be Monday through Friday and shifts will be 8 hours between 7:00am- 6:00pm (although rare, occasional shifts can start as early as 5:00 am). After six months of floating to various locations, there is the potential to be placed at one outpatient center.Whether you are looking to start your career in healthcare or are looking to expand your skill set, this front desk position is the opportunity for you! Apply today!Responsibilities:

Collect appropriate documentation for managed care programs regarding referrals and authorizations.

Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.

Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met.

Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares (single specialty phone room or front desk environment).

Obtain and update demographic, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed.

Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.

Follow the mandatory reporting procedures for any incident or serious event that did affect or potentially could have affected the clinical care of any patient.

Interview and pre-register patients at the time of or prior to the visit date. Input patient information into the computer to initiate a medical record and a bill.

Collect and records patient payments at time of service.

Generate and complete all applicable forms and necessary communications.

Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.).

Assist with administrative duties in the office including but not limited to scanning of medical records and faxing.

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.

Maintain working knowledge of all required computer systems.

Support and contribute to UPMC service excellence mission and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities.

Confirm/Verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.

Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.

Completion of High School graduate or equivalent.

Experience with a personal computer-based application and other various office equipment with proficient typing skills

Medical terminology and third party health care coverage experience preferred.

Excellent interpersonal, written and communication skills. Initiative to work productively with minimum supervision.

Able to work well under pressure.

Clearances/Licensure: (to be acquired after offer acceptance and before start date - we will provide instructions on how to obtain)

Act 31 Child Abuse Reporting with renewal

Act 33 with renewal

Act 34 with renewal

Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/VeteranAt UPMC, we strive to ensure that diversity, inclusion, dignity, respect, and cultural awareness is at the core of everything we do. By fostering an environment where every member of our team has a voice, regardless of race, ethnicity, gender identity, sexual orientation, faith, age, or culture, we aim to emphasize a simple point: who you are is important, and who you are has a place at UPMC.