Patient Access Coordinator I/ED - Wexford - Full Time - Rotating Shifts

highmarkhealth; Wexford (Allegheny County); On-site; USD 21,000 - 28,000; Full time

Job summary

Allegheny Health Network seeks a patient access professional to manage scheduling, registration, and admitting activities with a focus on accurate data and streamlined processes.

The role requires verifying insurance details, collecting payments where applicable, and ensuring a positive patient experience while adhering to confidentiality and hospital policies. Evening and weekend availability may be required.

Qualifications

• High School/GED or 1–3 months related experience or equivalent.
• Experience operating a PC and using software applications.
• One year of related experience, preferably in medical/financial services/customer service.
• Substitutions: None
• Preferred: Medical terminology and insurance knowledge

Responsibilities

• Conducts scheduling, registration, and admitting functions independently at bedside; validates demographics and insurance data.
• Obtains and updates data to ensure timely bill submission, including workers' comp and motor vehicle claims.
• Identifies financial responsibilities, calculates estimates, collects liabilities, and posts payments in the ADT system.
• Delivers a positive patient experience; cooperates with patients, staff, and external agencies.
• Maintains confidentiality and serves as central resource during evenings, weekends, and holidays.
• Remains calm and professional when faced with stressful inquiries from patients, visitors, or staff.
• Adheres to policies and completes mandatory training within guidelines.
• Other duties as assigned.

Skills

Customer service

Communication

PC proficiency

Data accuracy

Education

High School/GED

Tools

Office software

Job description

Company : Allegheny Health Network Job Description :

GENERAL OVERVIEW

Creates the first impression of Allegheny Health Network's (AHN) services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf. Completes one or more of the following processes (proper patient identification, scheduling, registration, financial clearance, authorization and referral validation, creates estimate, and payment collection when applicable). Connects patient to financial advocacy resources when appropriate, provides or obtains signatures on regulatory paperwork as required. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities.

ESSENTIAL RESPONSIBILITIES

Conducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data to ensure timely, accurate bill submission to include workers compensation and motor vehicle claims. Provides or obtains signatures on regulatory paperwork as required.

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 accounts and documents for follow up by self-pay vendor or financial advocacy department.

Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships. Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.

Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information. Practices patient confidentiality. Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy. Central resource for registration and problem resolution during evenings, weekends, and holidays.

Ability to remain calm and professional when faced with stressful situations. Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.

Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.

Other duties as assigned or requested.

QUALIFICATIONS

Required

High School/GED or one - three months related experience and/or training; or equivalent combination of education and experience.

Experience operating a PC and using software applications

One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment

Substitutions None

Preferred

Medical terminology and insurance knowledge

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.

HIPAA

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 o