Patient Access Representative

Purpose:

Are you interested in a customer service position?  Are you looking to get your foot in the door with UPMC?  Join our team and you will play an important role in our mission to make Life Changing Medicine happen.  UPMC is hiring a full-time employee for their front desk Patient Access Representative role.

In this role, you will travel to various UPMC outpatient offices within Allegheny County and Cranberry to work a variety of shifts Sunday through Saturday and during daylight hours. Shifts are 8.5 hours, typically between 7:00am and 6:00pm (although rare, occasional shifts can start as early as 5:00am). Your first six months will be floating on the mobile team with the potential to be placed at one location after six months.

As a Patient Access Representative, you will coordinate patient access for all phases of the revenue cycle, from scheduling and pre-registration, up to and including referral and denial management.

Whether you are looking to start your career in healthcare or are looking to expand your skill set, this front desk position is the opportunity for you!  Apply today!

Responsibilities:

• Collect appropriate documentation for managed care programs regarding referrals and authorizations.
• Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.
• Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met.
• 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).
• Obtain and update demographic, next-of-kin, and insurance information, including referrals/authorizations on all patients as needed.
• Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.
• Follow the mandatory reporting procedures for any incident or serious event that did affect or potentially could have affected the clinical care of any patient.
• Interview and pre-register patients at the time of or prior to the visit date. Input patient information into the computer to initiate a medical record and a bill.
• Collect and records patient payments at time of service.
• Generate and complete all applicable forms and necessary communications.
• Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.).
• Assist with administrative duties in the office including but not limited to scanning of medical records and faxing.
• Obtain signature of patient or family member for consent to treatment and financial responsibility following the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.
• Maintain working knowledge of all required computer systems.
• Support and contribute to UPMC service excellence mission and abide by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities.
• Confirm/Verify insurance benefits with the appropriate carrier via on-line verification systems or telephone inquiries.
• Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.