Patient Access Specialist I- Pediatric Cardiology, Children's

UPMC

Posted 3 months ago

Full Time

Pittsburgh, Pennsylvania

In Person

Smart Summary

Responsibilities

Coordinate patient access for Pediatric Cardiology by scheduling appointments and managing patient demographics and insurance verification. Serve as the primary point of contact for incoming calls, ensuring the 72-hour patient access goal is met.

Qualifications

You have completed a HS diploma/equivalent and have at least 1 year of experience in a medical office, customer service, or inbound call center. You are proficient with personal computer-based applications and possess strong interpersonal and communication skills to effectively interact with diverse constituents and manage sensitive information.

Must Have Skills for ATS

medical terminology

multi-line telephone systems

electronic scheduling system

third party payer guidelines

Act 31

Act 33

Act 34

Act 73 FBI Clearance

Job Description

University of Pittsburgh Physicians is hiring a Full-time Patient Access Specialist to assist the Department of Pediatric Cardiology at the Heart and Vascular Institute inside UPMC Children's Hospital of Pittsburgh. This position will work Monday-Friday 8:00 am to 4:30 pm.

Purpose:
Typically, function under the direction of the Supervisor/Manager responsible for patient access. Schedule appointments for a similar group or specialty of physicians generally at one location or multiple session timeshares. Serve as front line resource for PSD Departments to coordinate access of external public to our care providers and ensure goal of 72 hours patient access are met.

Responsibilities:
 

  • Review, verify and enter the patient's demographic information to ensure data integrity.
  • Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares (single specialty phone room or front desk environment).
  • Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.
  • Obtain chief complaints in order to schedule appropriately.
  • Take incoming calls demonstrating the essential skills documented in the Telephone Courtesy Standards.
  • Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met.
  • Appropriately distribute/triage phone calls to other areas and/or clinical providers (billing, nurse, operations lead, etc.).
  • Treat all patients with respect and demonstrates the behaviors learned in the Patient Ambassador Program.
  • Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.
  • Work the overflow call list and Audiocare report.
  • Review and verify the patient's insurance information.
  • Coordinate access to care for patients within own department or location.
  • Monitor patient wait list report.
  • Compile and send new patient packets or flags patient if needs to be completed upon arrival.
  • Knowledgeable about various reasons for patient calls such as prescription refills, how to triage clinical issues, participating insurances, questions about physicians, etc.
  • Take responsibility to escalate to appropriate clinical or supervisory personnel when needed, including thorough and accurate documentation of telephone encounter for messaging.
  • Function at multiple sites as requested by supervisor.
  • Answer multi-line telephone system. The number of calls taken must be within 90%25 of the daily average calls per day per agent.
  • Give basic information to patients (directions, parking information, and required preparation for appointment).


  • Completion of HS Diploma/equivalent and 1 year of experience in a medical office, customer service, inbound call center (preferred), or other relevant health care setting will be considered. Associates degree and 6 months of experience in a medical office, customer service, inbound call center (preferred), or other relevant health care setting preferred
  • Must have experience with personal computer based applications, including email and experience with other various office equipment. 
  • Must be able to multitask at a high level. Able to interact with a variety of external and internal constituents, including patients, patients' families, internal physicians, referring physicians or their clinical/office staff, insurance companies, nurses. 
  • Experience with/knowledge of medical terminology and multi-line telephone systems is preferred. Electronic scheduling system experience is preferred.
  • Must be able to learn and apply third party payer guidelines and reimbursement practices. Basic knowledge of health insurance preferred.
  • Must be able to maintain confidential information. Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances.

    Licensure, Certifications, and Clearances:
     
  • 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

UPMC

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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