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Patient Access Rep
4 months ago
**Patient Access Rep**
**Flex Full-time, Day shift with rotation, weekends and holidays.**
**AFSCME - Union**
**Posted: May 13, 2024**
**Purpose**:
- Functions under the general direction of department leadership in Patient Access. Coordinates patient access for all phases of the revenue cycle from scheduling and registration up to and including referral and denial management.
**Responsibilities**:
- Also works as a team member and positively accepts change throughout the Hospital.
- The Patient Access Services (PAS) Representative must have a working knowledge of the managed care environment, third-party reimbursement, hospital and community services, and hospital and healthcare policies.
- Reporting to the Manager/Supervisor, this position is responsible for completing the inpatient and outpatient registration and insurance eligibility processes with Patient Access Services and creating the first impression of the Hospital's services to patients, family members, and other external customers.
- Critical to this position is the ability to gather and record all appropriate information that lays the groundwork for the remaining or future fiscal efforts of the Hospital
- The PAS Representative must be capable of articulating information in a manner patients, guarantors, and family members know what to expect and what their financial responsibilities will ultimately be.
- Additional responsibilities include interviewing patients/guarantors to obtain demographic and confidential clinical and financial information necessary to appropriately schedule, register, obtain treatment authorizations, and verify insurance eligibility and corresponding benefit levels.
- All information is entered into the Hospital's computer system to expedite data collection, billing, and Hospital reimbursement.
- Critical to this position is an understanding of the corporate revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Hospital.
- The PAS Representative works directly with medical staff, nursing, ancillary departments, insurance carriers, and other external professionals to assist families in obtaining health care and financial services.
- High School Diploma or GED required
- Two years of experience in a healthcare role or one year in a medical/billing/fiscal setting is preferred
- Proficiency with Microsoft Office products is preferred
**Licensure, Certifications, and Clearances**:
- Act 34
- **UPMC is an Equal Opportunity Employer/Disability/Veteran
