Patient Access & Scheduling Specialist

Highmark Health; Pennsylvania; On-site; USD 32,000 - 42,000; Full time

Job summary

Allegheny Health Network seeks a Patient Access representative to handle scheduling, preregistration, and financial clearance, while providing clear information to patients and families.

You will verify insurance, determine authorization needs, collect estimates, and maintain accurate data in our system, contributing to a positive patient experience. The role requires at least a high school diploma and up to one year of related experience; familiarity with medical terminology is a plus.

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.
• Preferred medical terminology and obtaining insurance verifications Call/Service Center experience.

Responsibilities

• Schedules, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits.
• 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 payor authorization/referral requirements and follows up with physician offices and payors.
• Identifies all patient financial responsibilities, calculates estimates and post payment transactions.
• Delivers positive patient experience and maintains relationships with patients and staff.

Skills

Customer service

Education

High school diploma or GED

1 year related experience

Job description

Allegheny Health Network seeks a Patient Access representative to handle scheduling, preregistration, and financial clearance, while providing clear information to patients and families.

You will verify insurance, determine authorization needs, collect estimates, and maintain accurate data in our system, contributing to a positive patient experience. The role requires at least a high school diploma and up to one year of related experience; familiarity with medical terminology is a plus.