Patient Access Coordinator I: Scheduling, Verification & Billing

highmarkhealth; Pittsburgh (Allegheny County); On-site; USD 32,000 - 42,000; Full time

Job summary

Allegheny Health Network in Pittsburgh is seeking a Patient Access professional responsible for scheduling, pre-registration, financial clearance, and eligibility verification to create a positive first impression of AHN’s services.

You will verify benefits, collect information, and communicate clearly with patients and external contacts while maintaining compliance with HIPAA and AHN policies.

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.
• Preferred: Call/Service Center experience.

Responsibilities

• Conducts scheduling, and preregistration 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 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.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation.
• 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.

Skills

Customer service

Call center experience

Communication

Education

High school diploma or GED

Tools

PC software applications

Job description

Allegheny Health Network in Pittsburgh is seeking a Patient Access professional responsible for scheduling, pre-registration, financial clearance, and eligibility verification to create a positive first impression of AHN’s services.

You will verify benefits, collect information, and communicate clearly with patients and external contacts while maintaining compliance with HIPAA and AHN policies.