UPMC · 1 week ago
Patient Access Specialist I- Wexford
Wexford, PA
Full-time
Onsite
Entry Level
1+ years expUPMC Community Medicine Incorporated is hiring a casual Patient Access Specialist to assist Tri-Rivers at their call center in Wexford. The role involves scheduling appointments, verifying patient information, and serving as a front line resource for patient access coordination, ensuring timely access to care providers.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Review, verify and enter the patient's demographic information to ensure data integrity
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)
Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements
Obtain chief complaints in order to schedule appropriately
Take incoming calls demonstrating the essential skills documented in the Telephone Courtesy Standards
Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met
Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.)
Treat all patients with respect and demonstrates the behaviors learned in the Patient Ambassador Program
Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information
Work the overflow call list and Audiocare report
Review and verify the patient's insurance information
Coordinate access to care for patients within own department or location
Monitor patient wait list report
Compile and send new patient packets or flags patient if needs to be completed upon arrival
Knowledgeable about various reasons for patient calls such as prescription refills, how to triage clinical issues, participating insurances, questions about physicians, etc
Take responsibility to escalate to appropriate clinical or supervisory personnel when needed, including thorough and accurate documentation of telephone encounter for messaging
Function at multiple sites as requested by supervisor
Answer multi-line telephone system. The number of calls taken must be within 90% of the daily average calls per day per agent
Give basic information to patients (directions, parking information, and required preparation for appointment)
Qualification
Required
Completion of HS Diploma/equivalent
1 year of experience in a medical office, customer service, inbound call center, or other relevant health care setting
Must have experience with personal computer based applications, including email and experience with other various office equipment
Must be able to multitask at a high level
Able to interact with a variety of external and internal constituents, including patients, patients' families, internal physicians, referring physicians or their clinical/office staff, insurance companies, nurses
Must be able to learn and apply third party payer guidelines and reimbursement practices
Must be able to maintain confidential information
Must have strong interpersonal, organizational, and communication skills
Must be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances
Act 34
Preferred
Associates degree and 6 months of experience in a medical office, customer service, inbound call center, or other relevant health care setting
Experience in inbound call center
Experience with/knowledge of medical terminology
Experience with multi-line telephone systems
Electronic scheduling system experience
Basic knowledge of health insurance
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
H1B Sponsorship
UPMC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (7)
2023 (4)
2022 (7)
2021 (7)
2020 (13)
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
President and CEO
Frederick M. Hargett
Chief Financial Officer
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