Orthopedics Patient Access Specialist

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

Job summary

Allegheny Health Network seeks a Patient Access professional to perform scheduling, preregistration, and financial clearance while ensuring accurate data and clear communication with patients about their responsibilities. The role emphasizes reliable verification, authorization coordination, and proactive patient service.

The position requires a high school diploma or equivalent and at least one year in a medical or customer service environment, plus PC proficiency and familiarity with insurance

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 insurance verifications; call/service center experience.

Responsibilities

• Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
• Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system; provides documentation and follow up regarding authorization/referral deficiencies.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions in the ADT system, and performs daily reconciliation.
• Delivers positive patient experience and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors.
• Maintains focus on attaining productivity standards and adheres to organizational policies; completes mandatory training.
• Performs other duties as assigned or required.

Skills

Customer service

Call center experience

Data entry

Education

High School Diploma or GED

Tools

PC & Software Applications

Medical terminology

Insurance verifications

Job description

Allegheny Health Network seeks a Patient Access professional to perform scheduling, preregistration, and financial clearance while ensuring accurate data and clear communication with patients about their responsibilities. The role emphasizes reliable verification, authorization coordination, and proactive patient service.

The position requires a high school diploma or equivalent and at least one year in a medical or customer service environment, plus PC proficiency and familiarity with insurance