Job Description

Job Title: Patient Access Specialist II
Job ID: 703900
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: POP15 UPMC Mercy
Location: 3471 Fifth Avenue, Pittsburgh PA 15213

Description

Job Summary:

Do you have prior experience working in a medical office and scheduling patient appointments? University of Pittsburgh Physicians is hiring a Patient Access Specialist II to support the Mercy department located at the Kaufmann Medical Building during daylight hours on Monday through Friday. 

In this role, you will schedule appointments for different departments, specialties, sub-specialties and/or large divisions at multiple locations or centers. You will serve as front line resource to manage access of the external public to our care providers and ensures goals of 72 hours patient access are met while making the appropriate appointment with the right sub specialist at the right location so the patient needs are met with the first visit whenever possible.

Responsibilities:
  • Answer multi-line telephone system and schedule appointments, contact or page physicians according to department questionnaires, protocols and templates.
  • Appointment notes are required when scheduling an appointment. Appointment Notes should provide pertinent information regarding the appointment such as: Diagnosis, Surgery date, Insurance participation and physician referral;etc.
  • Demonstrate ability to understand reason for patient visit and apply decision making ability to schedule an appointment with the correct sub-specialist by obtaining medical information/diagnosis in order to adequately meet the patient's needs and allow for appropriate scheduling to a specific physician or specialty.
  • Demonstrate the ability to understand the reason for a consumer referral call. Use decision making ability to appropriately refer a physician, class or program to meet the consumer's needs.
  • Demonstrate the ability to understand the reason/needs for the patient or clinicians call and apply the decision making ability to page or contact the appropriate physician to meet the patient's needs.
  • Ensure effective communication and call escalation to appropriate personnel; includes thorough and accurate documentation of telephone encounter.
  • Ensure effective communication to patients regarding scheduling and call details, give basic information to patients (directions, parking information, and required preparation for appointment).
  • Maintain performance at or above established benchmarks for: Quality Assurance. Average Call Handling Time, Schedule Adherence and Telephone Aux usage.
  • Make decisions independently and take initiative to find answers to questions. Appropriately triage phone calls to or from clinical and other areas.
  • Provide support to supervisor/manager in the instruction of training new staff in order to maintain a high quality of service to the patient and the department.
  • Research, resolve and respond to email, web and telephone billing inquiries from patients and insurance carriers in accordance with departmental protocols.
  • Review, verify and enter the patient's demographic and insurance information to ensure data integrity.
  • Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met while still placing the patient with the right sub-specialist whenever possible to avoid return visit to see the correct sub-specialist.

Qualifications

  • Completion of high school diploma or equivalent and two years of medical office, customer service, inbound call center (preferred) or other relevant health care experience required.  
  • Prior experience working in a medical office setting and scheduling patient appointments is preferred.
  • Associate's degree and one year of medical office, customer service, inbound call center (preferred) or other relevant health care experience preferred. 
  • Must have working knowledge of Word and Outlook. Working knowledge of Excel is preferred.
  • Advanced knowledge of health insurance preferred. 
  • Initiative to work productively in a team setting with minimal supervision. Must be able to multitask at a high level.
  • Must be able to learn new concepts quickly and apply them in a medical setting. 
  • Experience with/knowledge of medical terminology and multi-line telephone systems is preferred. Must be able to maintain confidential information. 
  • Ability 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. 
  • Electronic scheduling system experience is preferred. Must be able to make appropriate decisions based on the circumstances as well as established protocols. 
  • Must be able to learn and apply third party payer guidelines and reimbursement practices and available financial resources for the funding of medical care. 
  • Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances. Must demonstrate the ability to effectively problem solve and make independent decisions.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $15.13 to $23.82

Union Position: No

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