Patient Access Representative at UPMC

Altoona, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jun, 26

Salary

0.0

Posted On

07 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Access, Scheduling, Registration, Referral Management, Denial Management, Insurance Eligibility, Data Entry, Revenue Cycle, Third-Party Reimbursement, Hospital Policies, Microsoft Office

Industry

Hospitals and Health Care

Description

Patient Access Representative UPMC Altoona has immediate openings for Patient Access Representatives for the Emergency Department, OP1, the Hospital, and the Station Medical Center. We are looking for friendly faces to help provide excellent experiences to our patients at UPMC! If you have a friendly personality and like to have a positive impact on someone’s day – this could be the perfect position for you! We currently have full-time opportunities available. Apply now to learn more! 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: The PAS Representative works directly with medical staff, nursing, ancillary departments, insurance carriers, and other external professionals to assist patients in obtaining health care and financial services. Reporting to the Manager/Supervisor, this position is responsible for completing the 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. 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. 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 healthcare policies. All information is entered into the Hospital's computer system to expedite data collection, billing, and Hospital reimbursement. 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 Also works as a team member and positively accepts change throughout the Hospital. Critical to this position is understanding the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Hospital. The PAS Representative must be capable of articulating information in a manner that patients, guarantors, and family members know what to expect and what their financial responsibilities will ultimately be. High School Diploma or GED required Two years of 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 Why choose UPMC Altoona? An incomparable, affordable benefits package (found to be 20%25 higher in value than other healthcare employers in our market!) Click on the Total Rewards link at the bottom of this page to learn more Generous vacation accrual Tuition assistance to further your education

Responsibilities

The Patient Access Representative coordinates patient access across the revenue cycle, including scheduling, registration, referral, and denial management, while working with medical staff and insurance carriers. This role is responsible for creating the first impression for patients by completing registration and insurance eligibility processes, gathering necessary demographic and financial information.