Patient Access Coordinator II - Full Time - Daylight - Greensburg

High Market Health; Greensburg (Westmoreland County); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare organization seeks a Patient Access representative responsible for ensuring a positive patient experience through scheduling, financial clearance, and data validation. Candidates should be detail-oriented with a high school diploma or GED and ideally have experience in medical or financial environments.

Qualifications

• Minimum 1-3 months related experience or training.
• Two years of related experience preferred in medical or financial settings.
• Certification with HFMA or CRCR is a plus.

Responsibilities

• Conduct scheduling and pre-registration, verify patient data and benefits.
• Identify patient financial responsibilities, collect liabilities, and post payments.
• Report team barriers and assist in operational support.

Skills

Customer service

Financial management

Data management

Education

High school diploma or GED

Tools

PC operation

Software applications

Job description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

This role involves completing processes such as scheduling, pre-registration, financial clearance, authorization and referral validation, pre-serviceability estimations, and collections within Patient Access. The role creates the first impression of AHN's services to patients and external customers, articulating information clearly to ensure understanding of expectations and financial responsibilities. The employee assumes clinical and financial risk when collecting and documenting patient information and trains and assists team members as needed.

ESSENTIAL RESPONSIBILITIES:

1. Conduct scheduling and pre-registration, validate patient data, verify medical benefits, correct and update data for accurate billing. (20%)
2. Verify insurance information via contacts or electronic systems, identify authorization/referral requirements, and communicate deficiencies to relevant parties. (20%)
3. Identify patient financial responsibilities, estimate costs, collect liabilities, post payments, and perform reconciliation. Escalate complex cases to Financial Counselors. (20%)
4. Provide a positive patient experience, maintain good relationships with patients, staff, and external partners, and communicate effectively. (10%)
5. Maintain productivity standards and recommend improvements when appropriate. (10%)
6. Follow organizational policies, complete mandatory training, and attend education sessions. (10%)
7. Report team barriers, assist with operational support, and help resolve patient issues. (10%)
8. Perform other duties as assigned.

QUALIFICATIONS:

Minimum:

• High school diploma or GED, or 1-3 months related experience/training, or equivalent.
• Two years of related experience preferred, especially in medical, financial, or customer service settings.
• Proficient in PC operation and software applications.

Preferred:

• Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
• Experience in Call/Service Center roles.

Disclaimer: This description indicates the general duties and responsibilities but may not include all tasks or qualifications. It adheres to ethical and legal standards, including HIPAA and data security policies. Employees must comply with applicable laws, company policies, and the Code of Business Conduct. Confidential information must be protected at all times.

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