Job Description

UPMC is hiring a Contact Center Specialist to support Three Rivers Orthopedic Associates, located at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This position offers a Monday through Friday daylight schedule from 8:00 AM to 4:30 PM, with no evenings or weekends required. The Contact Center Specialist serves as a key point of contact for patients, providing exceptional customer service while answering incoming calls, scheduling patient appointments, verifying demographic and insurance information, and ensuring accurate documentation within the practice management system. Once fully trained, this role offers the opportunity to work remotely from home. The ideal candidate is customer-focused, detail-oriented, and able to effectively manage a high volume of calls in a fast-paced orthopedic practice while delivering a positive patient experience.

Responsibilities:

• Answer multi-line telephone system, with a clear focus on patient satisfaction and first call resolution while scheduling appointments according to the department protocols ensuring the appropriate exam, physician, and timeslot are utilized. Redirect telephone calls and takes messages, when appropriate, interacting with the staff and leadership of other departments when necessary. Review, verify and enter the patient’s demographic, financial, and insurance information to ensure data integrity. Enters or updates information in the appropriate system(s) accurately, verifies and revises existing information on patients that have not been interviewed within the past 30 days.
• Complete forms, upload, scan, or fax documents as required for patient appointment. Follow up on any incomplete or inaccessible information to assure a completed record. Obtains, verifies and corrects registration information of new and existing patients. Mail new patient packets prior to scheduled appointment and handle medicine refill requests.  Act as an advocate for patients by providing guidance, interpretation, and education on scheduling, registration (directions, parking information, and required preparation for appointment), billing, claims, and various patient related inquiries.
• Identify and take action to address patient concerns by utilizing effective decision making skills to know when to handle the call, send the call to in house clinical staff or send call to the physician’s office to meet the patient’s needs. Research, resolve and respond to email, web and telephone billing inquiries from patients and insurance carriers in accordance with departmental protocols. Complete follow-up on unpaid account balances. Contact guarantors, third party payors, and/or other outside agencies for payment of balances due. Establish reasonable payment plans according to department policies; set up payment arrangement in system and monitors payments for consistency and timeliness. Counsel patients on various local, state and federal agencies, which may be available to assist with funding of health care.
• Assist patients that call with access issues for their MyUPMC account, telemedicine visit or any other on-line access concerns • Contact patients to discuss their post-discharge appointment requirements; follow up and coordinate all appointments for the patient.  Review and take action on accounts on aged trial balance reports or in assigned work queue meeting specified dollar and age criteria to ensure lowest number of days possible on accounts receivable. Assign accounts deemed un-collectible to external collection agencies on a monthly basis. • Document all actions taken on a patient account. Review on-line account history and EOB’s to ensure all payers have been billed and to validate the accuracy of payments and adjustments posted.
• Identify, review, and research credit balance accounts, potential refunds, adjustments, payment transfers, etc., to bring the account balance to zero. Identify and take action towards resolution of problematic accounts through potential refunds, adjustments, payment transfers, etc. to bring balance to zero. Adhere to Fair Debt Collection Practices Guidelines and understands the laws and regulations applicable to job functions.  Performs in accordance with system-wide competencies/behaviors.  Performs other duties as assigned.

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