Patient Access & Financial Clearance Specialist

Allegheny Health Network; Pittsburgh (Allegheny County); On-site; USD 35,000 - 52,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access representative to complete scheduling, preregistration, and financial clearance processes. You will verify insurance, determine patient financial responsibilities, and provide clear information to patients and families, ensuring accurate data and timely bill submission.

The role emphasizes delivering a positive patient experience, maintaining strong relationships with AHN staff and external partners, and adhering to organizational policies and

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

Responsibilities

• Scheduling, and preregistration functions; validates patient demographic data and verifies medical benefits and COB; corrects data for timely bill submission.
• Verifies insurance information via payor contacts; communicates authorization/referral requirements to physician offices and payors.
• Identifies patient financial responsibilities; calculates estimates; collects liabilities; posts payments and reconciles daily.
• Delivers a positive patient experience; maintains relationships with patients, AHN leadership and staff, physician offices and external agencies.
• Maintains productivity; suggests approaches to improve performance and efficiency.
• Follows AHN policies; completes required training within guidelines.
• Performs other duties as assigned.

Education

High school diploma or GED

Job description

Allegheny Health Network is seeking a Patient Access representative to complete scheduling, preregistration, and financial clearance processes. You will verify insurance, determine patient financial responsibilities, and provide clear information to patients and families, ensuring accurate data and timely bill submission.

The role emphasizes delivering a positive patient experience, maintaining strong relationships with AHN staff and external partners, and adhering to organizational policies and