Patient Access Coordinator I: Optimize Scheduling & Billing

Highmark Health; Erie (Erie County); On-site; USD 38,000 - 52,000; Full time

Job summary

Allegheny Health Network (a unit of Highmark Health) is seeking a Patient Access professional to manage scheduling, pre-registration, and financial aspects of care. The role involves verifying demographics and benefits, calculating patient liabilities, and communicating with physicians and payors to ensure timely, accurate submissions.

The position emphasizes delivering a positive patient experience, meeting productivity targets, and complying with HIPAA and company policies.

Qualifications

• High school diploma or GED; or 1–3 months related experience and/or training; or equivalent combination of education and experience.
• One 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

Responsibilities

• Schedules and preregisters patients, validates demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
• Verifies insurance information through payor contacts and provides documentation to physicians, case management, and payors regarding deficiencies.
• Identifies patient financial responsibilities, calculates estimates, and posts payments in the ADT system; escalates to Financial Counselors when needed.
• Delivers a positive patient experience and maintains professional relationships with patients, AHN leadership and staff, physician offices, and external agencies.
• Maintains productivity and considers innovative approaches to enhance performance; adheres to policies and completes trainings.
• Performs other duties as assigned.

Job description

Allegheny Health Network (a unit of Highmark Health) is seeking a Patient Access professional to manage scheduling, pre-registration, and financial aspects of care. The role involves verifying demographics and benefits, calculating patient liabilities, and communicating with physicians and payors to ensure timely, accurate submissions.

The position emphasizes delivering a positive patient experience, meeting productivity targets, and complying with HIPAA and company policies.