Patient Access Representative
5 days ago
Patient Access Representative Job Summary
This role is responsible for coordinating patient access for all phases of the revenue cycle, from scheduling and registration to referral and denial management.
Key Responsibilities:
- Reconcile and maintain the First Net Emergency Department Tracking Board and Hospital ADT system.
- Ensure accurate registration into hospital ADT and/or clinical system during system downtime, with monitoring and reconciliation of every patient for accuracy.
- Provide central resource support for ADT registration and problem resolution during evenings, weekends, and holidays.
- Confirm insurance eligibility and coordinate third-party reimbursement to support a seamless billing process.
- Counsel patients regarding insurance coverage and expected financial liability.
- Collect and record patient payments, including co-payments, co-insurance, and deductibles on the day of service.
- Provide a warm greeting for all patients.
- Support and contribute to UPMC core values and guiding principles of Your Care.
- Abide by all UPMC departmental policies, procedures, and goals in performing all job responsibilities.
- Incorporate acts of dignity and respect in daily interactions.
- Properly identify patients to start clinical records (utilizing biometrics if applicable).
- Facilitate financial gatekeeping with clinical partners.
- Maintain a close working relationship with clinical partners to ensure continual open communication and timely data integrity of accounts.
- Obtain or update necessary demographic and insurance-related information.
- Work independently to perform timely patient interviews and registrations for services at the bedside.
- Generate and complete all applicable forms and necessary communications, obtaining applicable signatures for consent to treat and financial responsibility, while following all HIPAA rules and regulations and maintaining patient confidentiality.
- Remain calm and professional when faced with stressful situations, prioritizing all work activities.
- Anticipate and respond to inquiries from patients, visitors, hospital personnel, government agencies, etc., under all conditions and circumstances.
- Completion of a High School graduate or equivalent is required.
- 2 years' experience in a healthcare or 1 year in a medical/billing/fiscal setting or 6 months in a UPMC Patient Access position is preferred.
- Medical Terminology, third-party healthcare coverage experience, and a strong understanding of managed care regulations are preferred.
- Experience with personal computer-based applications, other various office equipment, and proficient typing skills are required.
- Excellent interpersonal, written, and verbal communication skills are required.
- Initiative to work productively with minimal supervision and ability to work well under pressure are essential.
Requirements:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
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