Patient Access Coordinator I / Registration - Allegheny General Hospital - Full-Time

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

Job summary

A leading healthcare provider is seeking a Patient Access Representative to manage patient scheduling, insurance verification, and financial collections. You will ensure a positive patient experience and work collaboratively with healthcare teams, utilizing your skills in customer service and healthcare processes.

Qualifications

• 1+ year of healthcare Revenue Cycle experience preferred.
• Excellent communication and customer service skills required.
• Proficiency with PC and software applications essential.

Responsibilities

• Conducts scheduling and pre-registration for patients.
• Verifies insurance information and identifies authorization requirements.
• Calculates and collects patient financial responsibilities.

Skills

Customer Service

Communication

Proficiency with PC

Education

High School diploma or GED

Associates degree

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 and referral validation, and pre-serviceability estimations and collections within Patient Access. Creates the first impression of AHN's services to patients and families, articulating information clearly so they understand what to expect and their financial responsibilities. Assumes clinical and financial risk when collecting and documenting patient information.

ESSENTIAL RESPONSIBILITIES

• Conducts scheduling and pre-registration, validates patient demographic data, verifies medical benefits, and updates data for accurate billing.
• Verifies insurance information via phone, online, or electronic systems, and identifies authorization/referral requirements.
• Provides documentation and follow-up with physician offices, case management, and payors regarding authorization/referral issues.
• Identifies patient financial responsibilities, calculates estimates, collects liabilities, posts payments, and performs daily reconciliation. Escalates complex accounts to Financial Counselors.
• Delivers a positive patient experience, maintains good relationships with patients, staff, physicians, and external agencies. Communicates effectively to exchange information and promote collaboration.
• Maintains productivity standards and suggests improvements to enhance performance.
• Adheres to organizational policies, completes mandatory training, and performs other duties as assigned.

QUALIFICATIONS

Minimum

• High School diploma or GED required.
• At least one year of healthcare Revenue Cycle experience, preferably in financial clearance.
• Excellent customer service and communication skills.
• Proficiency with PC and software applications required.

Preferred

• Associates degree preferred.
• Call center experience preferred.

Disclaimer: This job description outlines the general duties and responsibilities and may not include all tasks, responsibilities, or qualifications.

Compliance: Employees must comply with ethical, legal, and behavioral standards, including HIPAA, data security policies, and the company's Code of Business Conduct. Confidential information must be protected at all times.

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