Patient Access Coordinator II-North Fayette Health & Wellness

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

Job summary

A healthcare provider seeks a Patient Access Specialist in Pittsburgh to manage patient scheduling and registration processes, while ensuring a great patient experience. Ideal candidates should have experience in medical or customer service environments and a high school diploma. This role involves financial responsibilities and requires strong communication skills, with growth opportunities in a dynamic team.

Qualifications

• At least 2 years of experience in a medical, financial, or customer service setting.
• Certification from Healthcare Financial Management Association is preferred.

Responsibilities

• Conduct scheduling and pre-registration, verify insurance details.
• Estimate patient financial responsibilities and collect liabilities.
• Provide a positive patient experience and maintain good relationships.

Skills

PC operation

Communication

Customer service

Financial collection

Education

High school diploma or GED

Job description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

This role involves completing processes such as scheduling, pre-registration, financial clearance, authorization, referral validation, pre-serviceability estimations, and collections within Patient Access. The employee creates the first impression of AHN's services to patients, families, and external customers by communicating clearly about what to expect and their financial responsibilities. The role involves assuming clinical and financial risk when collecting and documenting patient information and may include training and assisting team members.

ESSENTIAL RESPONSIBILITIES:

1. Conduct scheduling and pre-registration, validate patient demographic data, verify medical benefits, accurate plan code, and COB order. Obtain limited clinical data based on the required service. Ensure data accuracy for timely billing. (20%)
2. Verify insurance details through payor contacts via phone, online, or electronic systems. Identify requirements for authorization/referral and follow up with physicians, case management, and payors regarding deficiencies. (20%)
3. Identify patient financial responsibilities, estimate costs, collect liabilities, and post payments. Recognize complex liabilities and escalate to Financial Counselors as needed. (20%)
4. Provide a positive patient experience, maintain good relationships with patients, staff, physicians, and external agencies. Communicate effectively to exchange information and promote collaboration. (10%)
5. Focus on achieving productivity goals, suggest improvements for efficiency. (10%)
6. Follow organizational policies, complete mandatory training, and participate in educational sessions. (10%)
7. Report team barriers, process issues, or productivity concerns to the team lead. Support and train team members, and assist in resolving patient issues as needed. (10%)
8. Perform additional duties as assigned.

QUALIFICATIONS:

Minimum:

• High school diploma or GED, or 1-3 months related experience or training, or equivalent.
• At least two years of experience in a medical, financial, or customer service setting.
• Proficiency in PC operation and software applications.

Preferred:

• Certification from Healthcare Financial Management Association or Certified Revenue Cycle Representative.
• Experience in Call/Service Centers.

Disclaimer: This job description outlines the general duties and responsibilities but may not include all tasks required. It is subject to change as needed.

Compliance: Employees must adhere to ethical, legal, and behavioral standards, including HIPAA, data security, and the company's code of conduct. Confidential information must be protected at all times.

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