Clinical Access Coordinator-Pediatrics-Part-time

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 42,000 - 54,000; Full time

Job summary

Allegheny Health Network in Pittsburgh is seeking a Patient Access Specialist to support scheduling, pre-registration, financial clearance and authorization processes, delivering the first impression of AHN's services.

You will verify insurance, collect copays, enter demographic data, and coordinate with physicians and departments to keep appointments and billing accurate, while adhering to HIPAA and privacy policies.

Qualifications

• High school diploma or GED; or equivalent combination of education and experience.
• One year of related experience, preferably in a medical setting or financial services.
• Experience operating a PC and using software applications.
• HIPAA compliance and privacy policy familiarity.

Responsibilities

• Gathers, prepares and sends billing for consults and testing at non-Epic facilities.
• Responds to CRM requests for appointments and coordinates scheduling.
• Balances and closes cash drawer in Epic; prepares deposits and verification.
• Performs preregistration tasks: validating demographics and insurance information.
• Collects copays and posts payments; verifies benefits and authorizations for visits and procedures.
• Answers phone, messages, and relays information to patients and providers.
• Supports chart preparation, mail handling, and general office duties.

Skills

Customer service

Scheduling

Pre-registration

Financial clearance

HIPAA compliance

Communication skills

Education

High school diploma or GED

Tools

EPIC

Job description

Company : Allegheny Health Network

Job 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 facilities Responds to CRM requests for appointments Balances and closes cash drawer in Epic Prepares deposit slip and/or deposits money into bank and confirms deposit in Epic deposit tool Completes preregistration functions such as validating patient demographic information, identifying and verifying medical benefits and insurance information Collects copays and prior balances and posts payment transactions. Does not calculate estimates Obtains authorizations for office visit, testing and procedures Checks patient in/out Registers patient for billing not captured through Epic and organizes manual billing and sends to billers Scans documents into EPIC and prepares chart for office visits Proactively schedules and follows up with testing and manages follow up report Answers the phone, takes messages and forwards calls and calls patient to relay information. Works charge review and claim edit workqueues Proactively manages wait list Schedules procedures with patient and hospital and advocates MY CHART sign up Collects, sorts, distributes and prepares incoming and outgoing mail and provides information about services, physicians and facilities Communicates with physicians and midlevel providers regarding schedule and patient issues (no shows) Orders supplies to maintain inventory Support Medical Record request Proactively identify and report office issues to supervisor Performs other duties as assigned

QUALIFICATIONS

Minimum 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 Preferred Medical terminology and obtaining insurance verifications Call/Service Center experience

Disclaimer: 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] California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.