Patient Access & Scheduling Specialist II

Highmark Health; Monroeville (Allegheny County); On-site; USD 42,000 - 70,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access professional to handle scheduling, preregistration, and insurance verification, while collecting patient liabilities and providing a positive experience for patients and families.

The role requires a high school diploma or GED and experience in a medical or financial services setting; familiarity with PC software and healthcare data is expected. Trust and accuracy are essential in interaction with payors and patients.

Qualifications

• Minimum high school diploma or GED; or 1-3 months related experience or training.
• Two years of related experience, preferably in medical or financial services/customer service environments.
• Experience operating a PC and using software applications.
• Preferred HFMA certification or Certified Revenue Cycle Representative.
• Call/Service Center experience.

Responsibilities

• Completes scheduling and preregistration functions, validates demographic data, identifies medical benefits, and ensures accurate data for bill submission.
• Verifies insurance information and authorization/referral requirements with payors; provides documentation to physician offices and payors.
• Identifies patient financial responsibilities, estimates, and collects liabilities; performs post-payment transactions and reconciliations.
• Delivers positive patient experience and maintains relationships with patients, leadership, and external agencies.
• Maintains productivity standards and suggests process improvements to enhance performance.
• Follows organizational policies and completes mandatory training within guidelines.
• Communicates barriers and assists team with operational support and training.

Skills

Scheduling

Pre-registration

Financial clearance

Authorization/referral validation

HIPAA compliance

Customer service

Education

High school diploma or GED

Tools

PC software

Job description

Allegheny Health Network is seeking a Patient Access professional to handle scheduling, preregistration, and insurance verification, while collecting patient liabilities and providing a positive experience for patients and families.

The role requires a high school diploma or GED and experience in a medical or financial services setting; familiarity with PC software and healthcare data is expected. Trust and accuracy are essential in interaction with payors and patients.