Patient Access Navigator: Scheduling, Verifications & Billing

Highmark Health; Wexford (Allegheny County); On-site; USD 35,000 - 55,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access representative to handle scheduling, preregistration, and financial clearance. You will verify insurance, manage authorizations, and communicate clearly with patients to explain financial responsibilities.

The role emphasizes accurate data, professional interactions with providers and payors, and adherence to policies while supporting a positive patient experience.

Qualifications

• High school diploma or GED or equivalent; 1–3 months related experience or training.
• Experience in medical or financial services customer service preferred.
• Experience operating a PC and using software applications.

Responsibilities

• Completes scheduling and preregistration tasks and validates patient data.
• Verifies insurance information and manages authorization/referral requirements.
• Calculates patient financial responsibilities and processes payments.
• Delivers a positive patient experience and supports stakeholders.
• Maintains productivity and adheres to organizational policies.

Skills

Scheduling

Pre-registration

Financial clearance

Authorization validation

Referral validation

Pre-serviceability estimations

Collections

Patient data accuracy

Customer service

Adaptability

Education

High school diploma or GED

Tools

ADT system

Job description

Allegheny Health Network is seeking a Patient Access representative to handle scheduling, preregistration, and financial clearance. You will verify insurance, manage authorizations, and communicate clearly with patients to explain financial responsibilities.

The role emphasizes accurate data, professional interactions with providers and payors, and adherence to policies while supporting a positive patient experience.