Patient Access Specialist I- Pediatric Cardiology, Children's

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    Skills

    • Billingunmatched
    • Cardiologyunmatched
    • Communication Skillsunmatched
    • Data Qualityunmatched
    • Demographicsunmatched
    • Detail Orientedunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Healthcare Customer Serviceunmatched
    • Hospitalunmatched
    • Inbound Call Centersunmatched
    • Insuranceunmatched
    • Interpersonal Skillsunmatched
    • Medical Officeunmatched
    • Medical Terminologyunmatched
    • Medical Treatmentunmatched
    • Multitaskingunmatched
    • Nursingunmatched
    • Organizational Skillsunmatched
    • Patient Careunmatched
    • Pediatricsunmatched
    • Problem Solving Skillsunmatched
    • Reimbursement Guidelinesunmatched
    • Team Playerunmatched
    • Telephone Skillsunmatched
    • Telephone Triageunmatched
    • Third-Party Payerunmatched
    • Training Programunmatched

    Description

    Join our team of Life Changers!

    UPMC is hiring a full-time Patient Access Specialist I to support the Pediatric Cardiology team/office at the Children's Hospital in Pittsburgh.

    Shift/Hours: Monday-Friday, daylight shifts from 8:00am - 4:30pm. No weekends or holidays!

    Opportunities for growth, excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today!

    About the dept/team:

    Join the Pediatric Heart Institute, a growing and dynamic division dedicated to delivering exceptional care to pediatric patients and their families. In this role, you will be an integral member of a collaborative scheduling team that supports Pediatric Cardiologists across 15 locations. We are seeking a highly motivated professional who thrives in a fast-paced, high-volume environment, excels at managing multiple priorities, and maintains strong attention to detail while adapting to changing needs. This is an excellent opportunity for someone who enjoys problem-solving, teamwork, and making a meaningful impact on the patient experience.

    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% 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

    Numbers & Facts

    LocationPittsburgh, PA

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