Patient Access Coordinator I - Jefferson - Full time - Rotating Shifts

Highmark Health Company; Jefferson Hills (Allegheny County); On-site; USD 37,000 - 52,000; Full time

Job summary

Allegheny Health Network seeks a Patient Access Coordinator I for Jefferson Hills, PA. This on-site role handles scheduling, preregistration, insurance verification, and financial clearance to ensure accurate billing and patient understanding of financial responsibilities.

The position emphasizes delivering a positive patient experience and collaborating with physician offices, payors, and AHN leadership while maintaining HIPAA compliance and data accuracy. Rotating shifts are required.

Qualifications

• Minimum: High School/GED.
• Excellent Customer Service and Communication Skills.
• Operating PC and using software applications.

Responsibilities

• Performs scheduling, preregistration, and data verification to ensure accurate demographics and eligibility.
• Verifies insurance information with payors and documents requirements for authorization/referrals.
• Calculates patient financial responsibility and posts payments in the ADT system, performs daily reconciliation as needed.
• Delivers a positive patient experience and maintains relationships with patients, AHN leadership, staff, physician offices and payors.
• Maintains productivity standards and participates in required trainings and policy compliance.
• Performs other duties as assigned or required.

Skills

Customer service

Communication

Computer skills

Education

High School Diploma or GED

Associate’s Degree (preferred)

Tools

ADT system

Payer verification systems

Job description

## Patient Access Coordinator I - Jefferson - Full time - Rotating ShiftsApply: On-site: Jefferson Hills PA, 15025, 565 Coal Valley Road: Full time: Posted Today: J291294## **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 have an understanding of their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.**ESSENTIAL RESPONSIBILITIES*** Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)* Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)* 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 and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)* Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)* Maintains focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate. (10%)* 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. (10%)* Performs other duties as assigned or required.**QUALIFICATIONS:**Minimum* High School/GED* Excellent Customer Service and Communication Skills* Operating PC and using software applicationsPreferred* Associate's Degree* Call Center Experience* 1 year with the Healthcare Revenue Cycle, preferably within a financial clearance setting***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.*