Neurology Patient Access Specialist

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 36,000 - 52,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access professional responsible for scheduling, preregistration, and financial clearance. You will validate patient demographics, verify benefits, and communicate financial responsibilities to patients and families, ensuring accuracy and a positive first impression of AHN’s services.

The role requires handling authorizations/referrals, collecting liabilities, and maintaining procedures per AHN policies.

Qualifications

• Minimum high school diploma or GED; or one to 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.

Responsibilities

• Schedules, and preregisters patients; validates demographic data and verifies medical benefits.
• Obtains limited clinical data based on service required.
• Corrects and updates data to ensure timely bill submission.
• Verifies insurance information via payor contacts, online resources, or VE systems.
• Identifies payor authorization/referral requirements and communicates deficiencies to physicians and payors.
• Documents and follows up on authorizations/referrals with relevant departments.
• Calculates patient liabilities, collects payments, and performs post-collection reconciliation in ADT system.

Skills

Customer service experience

PC skills

Healthcare terminology (preferred)

Education

High school diploma or GED

Job description

Allegheny Health Network is seeking a Patient Access professional responsible for scheduling, preregistration, and financial clearance. You will validate patient demographics, verify benefits, and communicate financial responsibilities to patients and families, ensuring accuracy and a positive first impression of AHN’s services.

The role requires handling authorizations/referrals, collecting liabilities, and maintaining procedures per AHN policies.