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Emergency Department Patient Services Representative

Description
Job Summary:
UPMC Corporate Services is hiring an ED Patient Services Representative to support the Patient Access department located at UPMC Susquehanna Lock Haven. The position will work part-time for at least 20 hours per week. This position can be scheduled for 8 hour shifts Monday through Friday, and 12 hour shifts on Saturday and Sunday. Candidates must be open to all shifts. At times, you will be required to assist with other shifts as needed by the department.
A ED 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, connecting patients to financial advocacy resources when appropriate, updating patient's demographics and insurance coverage information, collecting consent signatures and promoting an overall culture of service excellence. We are seeking candidates with a strong health care background and a desire to be empowered to ensure a positive experience during a patient's visit to a UPMC Hospital.
Responsibilities:
Ability to remain calm and professional when faced with stressful situations, while simultaneously prioritizing all work activities.
Accountable for accurate registration into hospital ADT and/or clinical system during system downtime with monitoring and reconciliation of every patient for accuracy. Central Resource for all ADT registration and problem resolution during evenings, weekends and holidays.
Accountable for maintaining a close working relationship with clinical partners to assure continual open communication with pertinent information obtained such as any alias name changes, information blocks to prevent release of information, and behavioral health insurance payors to assure timely data integrity of accounts.
Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances.
Confirms insurance eligibility, accountable for third party reimbursement and coordination of benefits to support a seamless billing process.
Counsels patients regarding insurance coverage and expected financial liability. Collects and records patient payments including co-payments, co-insurance, and deductibles on the day of service.
Facilitator of financial gatekeeping with clinical partners.
Generates and completes all applicable forms and necessary communications. Obtains applicable signature for consent to treat and financial responsibility, along with signatures on any required forms, while following all HIPAA rules and regulations and maintaining patient confidentiality.
Obtains or updates necessary demographic and insurance related information.
Proper patient identification to start clinical record (utilizing biometrics if applicable)
Provides a warm greeting for all patients Support and contribute to UPMC core values and guiding principles of Your Care. Our Commitment and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.
Responsible for reconciliation and maintenance of First Net Emergency Department Tracking Board and Hospital ADT system.
Works independently to perform a timely patient interview and registration for services at the bed side.
Qualifications
Completion of High School graduate or equivalent.
Two years experience in a healthcare or one year in a medical/billing/fiscal setting or six months in a UPMC Patient Access Positon
Medical Terminology, third party health care coverage experience and strong understanding of managed care regulations are preferred
Experience with personal computer based applications, other various office equipment and proficient typing skills.
Excellent interpersonal, written and verbal communication skills are required.
Initiative to work productively with minimal supervision. Able to work well under pressure.
Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities


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