Patient Access & Financial Clearance Specialist

Highmark Health; Natrona Heights (PA); On-site; USD 32,000 - 46,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access representative to complete scheduling, preregistration, financial clearance, and authorization tasks, creating the first impression of AHN's services for patients and families. The role involves discussing financial responsibilities and benefits with patients, guarantors, and families.

Responsibilities include verifying benefits, collecting estimates, and ensuring accurate bill submission while maintaining strong working relationships with

Qualifications

• Minimum 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

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 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.
• Adheres to AHN organizational policies and procedures for relevant location and job scope.

Skills

Customer service

Medical terminology

Insurance verifications

Education

High school diploma or GED

Tools

ADTx system

Job description

Allegheny Health Network is seeking a Patient Access representative to complete scheduling, preregistration, financial clearance, and authorization tasks, creating the first impression of AHN's services for patients and families. The role involves discussing financial responsibilities and benefits with patients, guarantors, and families.

Responsibilities include verifying benefits, collecting estimates, and ensuring accurate bill submission while maintaining strong working relationships with