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UPMC Patient Services Representative (OP GIM) in Pittsburgh, Pennsylvania

A Patient Services Representative enhances the patient experience by greeting arrivals, guiding them through user-friendly technologies, and educating them on copayments and financial obligations. Responsibilities include collecting payments, scheduling follow-up appointments, and connecting patients with financial resources, as well as updating demographics and insurance information.

The role also involves administrative tasks like scanning documents and assisting with check-in, while facilitating scheduling for ancillary services. This position offers the chance to work with various specialty groups, improving customer service skills and learning about patient workflows and clinic protocols.

Responsbilities:

  • Provide a warm greeting for all patients.

  • Guide patient through use of self-arrival technology or check-in patient at desk depending on patient preference.

  • Collect copayments and any other applicable patient payments at the point of service.

  • Confirm and/or update patient registration information at checkout.

  • Schedule follow-up appointments within the practice at checkout.

  • Schedule or connect patient to resources to schedule for ancillary services at checkout.

  • 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.

  • 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.

  • Register patients in Biometrics (fingerprint recognition) program and explain benefits.

  • Promote MyUPMC patient portal and assist patients in registration when applicable.

  • Assist patients in education of financial responsibility and connect them to advocacy resources as needed.

  • Confirm/verify insurance benefits with the appropriate carrier via online verification systems or telephone inquiries.

  • 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.

  • Appropriately distribute / triage phone calls to other areas and / or clinical providers.

  • Assist with administrative duties in the office including but not limited to scanning of medical records and faxing.

  • *Performs in accordance with system-wide competencies/behaviors.

  • *Performs other duties as assigned.

  • 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: UPMC is an Equal Opportunity Employer/Disability/Veteran

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