Job Summary:A Patient Services Representative is responsible for welcoming patients upon arrival, promoting the usage of new and emerging consumer-friendly technologies, educating patients on their copayments and financial obligations and collecting payments when applicable, scheduling subsequent appointments within the continuum of care, connecting patients to financial advocacy resources when appropriate, updating patient's demographics and insurance coverage information, and promoting an overall culture of service excellence. Patient Services Representative display strong customer service skills that ensure that patients and family members have the desired UPMC Experience at UPMC physician practices, hospitals, and outpatient surgery departments.Responsibilities:
Help patients navigate the healthcare system by providing clear and understandable instructions. Provides follow-up to unresolved patient questions or needs to ensure the appropriate continuity of care.
Assist with administrative duties in the office including but not limited to scanning of medical records and faxing
Guide patient through use of self-arrival technology or check-in patient at desk depending on patient preference
Schedule or connect patient to resources to schedule for ancillary services at checkout
Understands the principles of service recovery and is both empowered and responsible for taking appropriate action to recover from service that does not meet the expectation of the UPMC Experience.
Assist patients in education of financial responsibility and connect them to advocacy resources as needed
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
Confirm/verify insurance benefits with the appropriate carrier via online verification systems or telephone inquiries
Promote MyUPMC patient portal and assist patients in registration when applicable
Collect copayments and any other applicable patient payments at the point of service
Provide a warm greeting for all patients
Register patients in Biometrics (fingerprint recognition) program and explain benefits
Confirm and/or update patient registration information at checkout
Appropriately distribute / triage phone calls to other areas and / or clinical providers
Schedule follow-up appointments within the practice at checkout
Completion of high school graduate or equivalent is required.
Experience with personal computer based applications, other various office equipment and proficient typing skills are preferred.
Two years of experience in a medical / billing / fiscal or customer service function is preferred.
Knowledge of medical terminology is preferred.
Prior experience with Medipac, Epic, or other health records systems is preferred. Licensure, Certifications, and Clearances:
Comprehensive Crisis Management (CCMC)
Act 31 Child Abuse Reporting with renewal
Act 33 with renewal
Act 34 with renewal
Act 73 FBI Clearance with renewal
UPMC is an Equal Opportunity Employer/Disability/Veteran
