Patient Access Coordinator I / Registration - AHN McCandless - Full-Time/Daylight Shift

High Market Health; Pittsburgh (Allegheny County); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance the patient experience. This role involves managing scheduling, pre-registration, and financial clearance processes, ensuring patients understand their responsibilities. You will play a pivotal role in creating a positive first impression while handling critical patient information. If you thrive in a fast-paced environment and are passionate about customer service, this opportunity is perfect for you. Join a team that values your contributions and offers a supportive work environment, along with a sign-on bonus to welcome you aboard.

Benefits

Sign-on Bonus

Health Insurance

Paid Time Off

Training and Development

Qualifications

• High school diploma or GED required; experience in medical or customer service preferred.
• Proficiency with PC and software applications is necessary.

Responsibilities

• Conducts scheduling and pre-registration functions, validates patient data.
• Calculates estimates, collects liabilities, and performs daily reconciliation.

Skills

Customer Service

Data Entry

Communication

Insurance Verification

Education

High School Diploma or GED

1-3 Months Related Experience/Training

Tools

PC Software Applications

Job description

Company :

Allegheny Health Network

Job Description :

$1,000 Sign-on Bonus

Sign-on bonus is for external hires only. Recipients must stay with AHN for a minimum of 1 year. Rehires may not have worked with AHN within the previous 12 months to qualify.

GENERAL OVERVIEW:

Completes processes such as scheduling, pre-registration, financial clearance, authorization, referral validation, and pre-serviceability estimations and collections within Patient Access. Creates the first impression of AHN's services to patients, families, and external customers. Clearly communicates information to ensure understanding of expectations and financial responsibilities. Assumes clinical and financial risk when collecting and documenting patient information.

ESSENTIAL RESPONSIBILITIES:

1. Conducts scheduling and pre-registration functions, validates patient demographic data, verifies medical benefits, corrects and updates data for timely billing. (30%)
2. Verifies insurance information through contacts or electronic systems, identifies authorization/referral requirements, and follows up with relevant parties. (20%)
3. Identifies patient financial responsibilities, calculates estimates, collects liabilities, posts transactions, and performs daily reconciliation. Escalates complex accounts as needed. (20%)
4. Provides a positive patient experience, maintains good relationships with patients, staff, and external vendors, and communicates effectively. (10%)
5. Maintains productivity standards, suggests improvements, and adheres to organizational policies. (10%)
6. Completes mandatory training and performs other duties as assigned. (10%)

QUALIFICATIONS:

Minimum:

• High school diploma or GED, or 1-3 months related experience/training, or equivalent.
• At least one year of related experience, preferably in a medical or customer service setting.
• Proficiency with PC and software applications.

Preferred:

• Knowledge of medical terminology and insurance verifications.
• Experience in call/service centers.

Disclaimer: The job description outlines general duties and responsibilities and may not include all tasks required. Employees must adhere to ethical, legal, and organizational standards, including HIPAA and data security policies. Compliance with the company's Code of Business Conduct and applicable laws is mandatory.

Highmark Health and affiliates prohibit discrimination based on protected categories and aim for accessibility. For accommodations or accessibility assistance, contact [e-mail].