Patient Access Coordinator I: Scheduling & Verifications

Highmark Health; Wexford; On-site; EUR 31,000 - 47,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access professional to manage scheduling, preregistration, and financial clearance processes. You will verify benefits, obtain necessary authorizations, and communicate clearly with patients and providers about financial responsibilities.

You will also calculate estimates, handle post-payment transactions, and identify self-pay liabilities, escalating when needed to Financial Counselors. A strong focus on accuracy and patient experience is essential.

Qualifications

• High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.
• One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment
• Experience operating a PC and using software applications.

Responsibilities

• Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
• Obtains limited clinical data based on service required.
• Corrects and updates all necessary data to assure timely, accurate bill submission.
• Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system.
• Identifies payor authorization/referral requirements.
• Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation.
• Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate.
• Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors.
• Performs other duties as assigned or required.

Job description

Allegheny Health Network is seeking a Patient Access professional to manage scheduling, preregistration, and financial clearance processes. You will verify benefits, obtain necessary authorizations, and communicate clearly with patients and providers about financial responsibilities.

You will also calculate estimates, handle post-payment transactions, and identify self-pay liabilities, escalating when needed to Financial Counselors. A strong focus on accuracy and patient experience is essential.