Patient Access Coordinator I / Registration - AHN Allegheny General Hospital (Full Time / Dayli[...]

Allegheny Health Network; Pittsburgh (Allegheny County); On-site; USD 35,000 - 45,000; Full time

Job summary

Allegheny Health Network in Pittsburgh is seeking an individual to complete patient access tasks such as scheduling, pre-registration, and financial clearance. This position requires excellent customer service and communication skills, along with healthcare Revenue Cycle experience.

The ideal candidate will have a High School diploma or GED and at least one year of relevant experience. The role emphasizes maintaining productivity and delivering positive patient experiences while adhering to organizational policies.

Qualifications

• Minimum one year of related healthcare Revenue Cycle experience.
• Experience in a financial clearance setting preferred.
• Ability to operate a PC and use relevant software applications.

Responsibilities

• Conduct scheduling and pre‑registration functions.
• Validate patient demographic data and identify medical benefits.
• Calculate estimates and collect liabilities as needed.
• Deliver positive patient experience and maintain relationships.
• Adhere to organizational policies and complete training as required.

Skills

Customer service skills

Communication skills

PC operating skills

Education

High School diploma or GED

Associate's degree (preferred)

Job description

Job Overview

Completes one or more of the following processes (scheduling, pre‑registration, financial clearance, authorization and referral validation, 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.

Company

Allegheny Health Network

Essential Responsibilities

• Conducts scheduling and pre‑registration 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.
• Verifies insurance information through payer contacts via telephone, online resources, or electronic verification system. Identifies payer authorization/referral requirements.
• Provides appropriate documentation and follow‑up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities and posts 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.
• 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.
• Maintains focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate.
• 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.
• Performs other duties as assigned or required.

Qualifications

Minimum

• High School diploma or GED required.
• At least one (1) previous year of related healthcare Revenue Cycle experience, preferably within a financial clearance setting.
• Excellent customer service and communication skills.
• Experience operating PC and using software applications required.

Preferred

• Associate’s degree preferred.
• Call center experience preferred.

Equal Employment Opportunity

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