Clinical Access Coordinator-Pediatrics-Part-time

Purposeful Hire, Inc.; Pittsburgh (Allegheny County); On-site; USD 32,000 - 45,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access professional to support scheduling, pre-registration, financial clearance and authorization validation while providing clear information to patients about their financial responsibilities.

The role involves handling cash, posting payments, verifying demographics and insurance, and coordinating with physicians and departments to maintain patient flow and accuracy in the Epic system.

Qualifications

• High school diploma or GED required; 1–3 months related experience preferred.
• Experience in medical or financial services settings a plus.
• Strong PC skills and ability to handle multiple tasks.

Responsibilities

• Gathers, prepares and sends billing for consults and testing.
• Responds to CRM requests for appointments.
• Balances and closes cash drawer in Epic.
• Prepares deposit slips and deposits money.
• Completes preregistration functions and verifies insurance details.
• Collects copays and posts payments.
• Obtains authorizations for visits and procedures.
• Checks patients in/out and registers billing outside Epic.
• Scans documents and supports chart preparation.

Skills

Customer service

Data entry

Communication

Education

High school diploma or GED

Tools

Epic

Job description

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.ESSENTIAL RESPONSIBILITIES:Gathers, prepares and sends billing for consults and testing at non-Epic facilitiesResponds to CRM requests for appointmentsBalances and closes cash drawer in EpicPrepares deposit slip and/or deposits money into bank and confirms deposit in Epic deposit toolCompletes preregistration functions such as validating patient demographic information, identifying and verifying medical benefits and insurance informationCollects copays and prior balances and posts payment transactions. Does not calculate estimatesObtains authorizations for office visit, testing and proceduresChecks patient in/outRegisters patient for billing not captured through Epic and organizes manual billing and sends to billersScans documents into EPIC and prepares chart for office visitsProactively schedules and follows up with testing and manages follow up reportAnswers the phone, takes messages and forwards calls and calls patient to relay information.Works charge review and claim edit workqueuesProactively manages wait listSchedules procedures with patient and hospital and advocates MY CHART sign upCollects, sorts, distributes and prepares incoming and outgoing mail and provides information about services, physicians and facilitiesCommunicates with physicians and midlevel providers regarding schedule and patient issues (no shows)Orders supplies to maintain inventorySupport Medical Record requestProactively identify and report office issues to supervisorPerforms other duties as assignedQUALIFICATIONS:MinimumHigh 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 servicessetting, and/or a demanding customer service environmentExperience operating a PC and using software applicationsPreferredMedical terminology and obtaining insurance verificationsCall/Service Center experienceDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.For accommodation requests, please contact HR Services Online at [e-mail] Consumer Privacy Act Employees, Contractors, and Applicants Notice