Patient Access Coordinator II / ED - Full Time - Rotational - West Penn

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 36,000 - 48,000; Full time

Job summary

Allegheny Health Network is seeking a patient financial services registrar to greet patients, identify financial responsibilities, and assist with scheduling, registration, estimates, and payment collection. You will connect patients with financial advocacy resources and ensure accurate data entry at bedside.

The role requires composure under pressure, strict privacy, adherence to EMTALA and AHN policies, and collaboration with clinicians and external partners.

Qualifications

• High School/GED or 1-3 months related experience or equivalent.
• Experience operating a PC and using software applications.
• Two years of related experience preferred, especially in medical or financial services.
• Certification in HFMA or CRR is preferred.

Responsibilities

• Identifies patient financial responsibilities, calculates estimates, collects liabilities, posts payments.
• Delivers positive patient experience and communicates with patients and staff.
• Maintains accurate registration in EHR during downtime and protects patient confidentiality.
• Stays calm and professional when faced with stressful situations; responds to inquiries from patients, visitors, and staff.
• Communicates barriers to leadership and assists in training and issue resolution.
• Follows AHN policies and completes mandatory training.
• Performs other duties as assigned.

Skills

Communication skills

Empathy

Multitasking

Attention to detail

Education

High School/GED

2 years related experience

Tools

Microsoft Office

Job description

Company : Allegheny Health Network Job Description :

GENERAL OVERVIEW:

Creates the first impression of Allegheny Health Network’s (AHN) services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting information on the patient’s behalf. Completes one or more of the following processes (proper patient identification, scheduling, registration, financial clearance, authorization and referral validation, creates estimate, and payment collection when applicable). Connects patient to financial advocacy resources when appropriate, provides or obtains signatures on regulatory paperwork as required. Articulates information in a manner that patients, guarantors, and family members understand so they know what to expect and understand their financial responsibilities. Displays a strong attention to detail, excellent communication skills, empathy, and compassion for patients and their families. Has the ability to multitask, work swiftly under pressure in a high acuity patient environment, and work collaboratively with healthcare professionals. Must stand for long periods of time and use a computer on wheels at bedside. Adheres to all EMTALA guidelines and AHN policies and procedures while performing routine duties. Follows standard and isolation precautions to provide adequate protections for healthcare workers, patients, and visitors.

ESSENTIAL RESPONSIBILITIES

• (40%) 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 accounts and documents for follow up by self-pay vendor or financial advocacy department.
• (10%) Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships. Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.
• (10%) Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes, and information blocks to prevent release of information. Practices patient confidentiality. Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy. Central resource for registration and problem resolution during evenings, weekends and holidays.
• (10%) Ability to remain calm and professional when faced with stressful situations. Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.
• (10%) Communicates team barriers, process flow or productivity issues to department leader. Assists team members with operational support and training. Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required.
• (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%) Other duties as assigned or requested.

QUALIFICATIONS:

• Required High School/GED or one - three months related experience and/or training; or equivalent combination of education and experience.
• Experience operating a PC and using software applications.
• Two previous years of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment.
• Preferred Medical terminology and insurance knowledge Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.

Disclaimer:

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

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.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network.

Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services.

Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.