Patient Access Specialist I

Highmark Health; Pittsburgh (Allegheny County); Sur place; USD 22 000 - 30 000; Plein temps

Résumé du poste

Allegheny Health Network is seeking a Patient Access Representative to complete scheduling, preregistration, financial clearance, and insurance verification duties. The role emphasizes accurate data, clear communication with patients, and coordination with physicians and payors to support smooth billing processes.

The position focuses on providing a positive patient experience, adhering to policies, and meeting productivity targets within the AHN system.

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

Responsabilités

• 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 payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
• 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.

Description du poste

Allegheny Health Network is seeking a Patient Access Representative to complete scheduling, preregistration, financial clearance, and insurance verification duties. The role emphasizes accurate data, clear communication with patients, and coordination with physicians and payors to support smooth billing processes.

The position focuses on providing a positive patient experience, adhering to policies, and meeting productivity targets within the AHN system.