The Patient Access Representative coordinates patient registration, insurance verification, and authorization processes to support the hospital's revenue cycle. They serve as the primary point of contact for patients, ensuring accurate data collection and providing clear information regarding financial responsibilities.
Requirements overview
Candidates must possess a High School Diploma or GED. Preferred qualifications include two years of healthcare experience or one year in a medical billing or fiscal setting, along with proficiency in Microsoft Office.
UPMC is a world-renowned, nonprofit health care provider and insurer committed to delivering exceptional, people-centered care and community services. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC is shaping the future of health through clinical and technological innovation, research, and education. Dedicated to advancing the well-being of our diverse communities, we provide nearly $2 billion annually in community benefits, more than any other health system in Pennsylvania. Our 100,000 employees — including more than 5,000 physicians — care for patients across more than 40 hospitals and 800 outpatient sites in Pennsylvania, New York, and Maryland, as well as overseas. UPMC Insurance Services covers more than 4 million members, providing the highest-quality care at the most affordable price. To learn more, visit UPMC.com.
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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