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Purpose:

Provides outstanding customer service as a first point of contact for incoming patients in our emergency departments (EDs) at UPMC. Performs with accuracy, patient registration, updating demographic information, insurance verification, obtaining consent form signatures, and collecting co-payments among other duties, all alongside clinical staff. This position will travel to multiple hospital ED locations and will need to be available for shifts which include daylight, evening, overnight, and weekend hours to accommodate a variety of scheduling needs. Will function under the general direction of the Floater Pool Service Management and expressly in the Patient Access Services setting.

Responsibilities:

+ Accountable for accurate registration into hospital ADT and/or clinical system during system downtime with monitoring and reconciliation of every patient for accuracy

+ Generates and completes all applicable forms and necessary communications.

+ Obtains applicable signature for consent to treat and financial responsibility, along with signatures on any required forms, while following all HIPAA rules and regulations and maintaining patient confidentiality.

+ Facilitator of financial gatekeeping with clinical partners.

+ Accountable for maintaining a close working relationship with clinical partners to assure continual open communication with pertinent information obtained such as any alias name changes, information blocks to prevent release of information, and behavioral health insurance payors to assure timely data integrity of accounts.

+ Central Resource for all ADT registration and problem resolution during evenings, weekends and holidays.

+ Ability to remain calm and professional when faced with stressful situations, while simultaneously prioritizing all work activities.

+ Proper patient identification to start clinical record. Works independently to perform a timely patient interview and registration for services at the bed side. Obtains or updates necessary demographic and insurance related information. Confirms insurance eligibility, accountable for third party reimbursement and coordination of benefits to support a seamless billing process.

+ Counsels patients regarding insurance coverage and expected financial liability. Collects and records patient payments including co-payments, co-insurance, and deductibles on the day of service.

+ Responsible for reconciliation and maintenance of First Net Emergency Department Tracking Board and Hospital ADT system.

+ Support and contribute to UPMC service excellence mission and abide by all UPMC departmental policies, procedures, goals, and values in the process of performing all job responsibilities. Incorporates acts of dignity and respect in daily interactions.

+ Anticipates and responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all conditions and circumstances.

+ Completion of high school diploma or equivalent.

+ Excellent interpersonal, written and verbal communication skills are required.

+ Two years of experience in a medical, billing, fiscal or customer service function is preferred.

+ Experience with personal computer based applications, other various office equipment and proficient typing skills.

+ Medical terminology and third party health care coverage experience preferred.

+ Initiative to work productively with minimal supervision.Able to work well under pressure. **Licensure, Certifications, and Clearances:**

+ Act 31 Child Abuse Reporting

+ Act 33

+ Act 34

+ Act 73 FBI Clearance

UPMC is an Equal Opportunity Employer/Disability/Veteran