Patient Access Specialist I — Elevate Patient Journeys

Highmark Health; McMurray (PA); Presencial; USD 36.000 - 54.000; Jornada completa

Descripción de la vacante

Allegheny Health Network seeks a Patient Access professional to handle scheduling, preregistration, and financial clearance, ensuring accurate data and timely bill submission.

You will verify insurance, determine authorization/referral needs, and communicate with physicians, case management, and payors. The role emphasizes patient-centric service, adherence to HIPAA, and cross-functional collaboration.

Formación

• Minimum high school diploma or GED, or equivalent combination of education and experience.
• One year of related experience, preferably within a medical or financial services setting.
• Experience operating a PC and using software; familiarity with medical terminology and insurance verifications; call/service center experience.

Responsabilidades

• Conduct scheduling and preregistration functions, validate demographics, identify and verify medical benefits, accurate plan code and COB order; update data for timely bill submission.
• Verify insurance information through payor contacts or verification system; provide documentation to physician offices, case management, and payors regarding deficiencies.
• Identify patient financial responsibilities, calculate estimates, collect liabilities and post payments in the ADT system; escalate complex cases.
• Delivers positive patient experience and maintains relationships with patients, AHN leadership and staff, physician offices, and external agencies.
• Maintain productivity, propose improvements, and complete mandatory trainings within guidelines.
• Performs other duties as assigned.

Conocimientos

Scheduling

Pre-registration

Financial clearance

Insurance verification

HIPAA compliance

Educación

High school diploma or GED

Herramientas

ADT system

PC skills

Descripción del empleo

Allegheny Health Network seeks a Patient Access professional to handle scheduling, preregistration, and financial clearance, ensuring accurate data and timely bill submission.

You will verify insurance, determine authorization/referral needs, and communicate with physicians, case management, and payors. The role emphasizes patient-centric service, adherence to HIPAA, and cross-functional collaboration.