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   Current UPMC employees must apply in HR Direct

Patient Access Rep

Description

Patient Access Rep

Flex Fulltime Day shift with rotation

830a-5p weekdays, 630a-3p on weekends both SMC and Hospital locations 

AFSCME

Posted: Oct 18, 2021

We are currently offering a SIGN-ON BONUS for all full-time Patient Access positions! The amount of the sign-on bonus is $500 for a 1 year employment commitment.  Don't miss out - apply today!

 

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 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 health care 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.

 

Qualifications

Education and Formal Training Required:

Must have a high school diploma or equivalent.

Two years experience in a healthcare role or one year in a medical/billing/fiscal setting is preferred.

Proficiency with Microsoft Office products is preferred.

Experience Required: None

Licensure, Certifications, and Clearances:

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

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At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct