Patient Access Coordinator I / Registration - AHN Forbes Hospital - Full-Time

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

Job summary

A healthcare provider in Allegheny County is seeking a Patient Access Coordinator I to manage scheduling and registration functions. Responsibilities include verifying insurance, calculating patient financial responsibilities, and enhancing patient experiences. The ideal candidate will have a high school diploma or GED, with a year of related experience preferred. Efficient PC use and excellent customer service skills are essential for this full-time position.

Qualifications

• High school diploma or GED; or one – three months of related experience and/or training.
• One year of related experience, preferably in a medical or customer service setting.
• Experience operating a PC and using software applications.

Responsibilities

• Conducts scheduling and preregistration functions.
• Verifies insurance information and authorization requirements.
• Calculates estimates and collects patient financial responsibilities.
• Delivers positive patient experience and maintains relationships.
• Meets productivity standards and recommends improvements.
• Adheres to organizational policies and procedures.

Skills

Customer service skills

Attention to detail

Knowledge of medical terminology

Education

High school diploma or GED

Tools

PC and software applications

Job description

Patient Access Coordinator I / Registration - AHN Forbes Hospital - Full-Time

Apply for the Patient Access Coordinator I / Registration - AHN Forbes Hospital - Full-Time role at Allegheny Health Network.

Overview

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.

Essential Responsibilities

• Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and 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 innovative 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

• 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 obtaining insurance verifications.
• Call/Service Center experience.

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.

EEO Statement

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