UPMC · 1 day ago
ED Patient Svcs Representative- UPMC West Shift, Part-Time, Night Shift.
UPMC is a healthcare provider that is seeking an ED Patient Services Representative to coordinate patient access throughout the revenue cycle. The role involves responsibilities such as patient registration, insurance eligibility confirmation, and maintaining communication with clinical partners while ensuring compliance with all policies and regulations.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Responsible for reconciliation and maintenance of First Net Emergency Department Tracking Board and Hospital ADT system
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
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
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
Proper patient identification to start clinical record (utilizing biometrics if applicable)
Facilitator of financial gatekeeping with clinical partners
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
Obtains or updates necessary demographic and insurance related information
Works independently to perform a timely patient interview and registration for services at the bed side
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
Ability to remain calm and professional when faced with stressful situations, while simultaneously prioritizing all work activities
Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances
Qualification
Required
Completion of High School graduate or equivalent
Excellent interpersonal, written and verbal communication skills are required
Initiative to work productively with minimal supervision
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
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
Provides a warm greeting for all patients
Proper patient identification to start clinical record (utilizing biometrics if applicable)
Obtains or updates necessary demographic and insurance related information
Works independently to perform a timely patient interview and registration for services at the bed side
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
Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances
Preferred
2 years' experience in a healthcare or 1 year in a medical/billing/fiscal setting or 6 months in a UPMC Patient Access position preferred
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
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
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
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