Patient Access Specialist I: Scheduling & Billing

Highmark Health; Monroeville (Allegheny County); On-site; USD 42,000 - 52,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access specialist to perform scheduling, preregistration, eligibility checks, authorization validation, and financial estimations. The role involves collecting patient information, communicating financial responsibilities, and ensuring accurate data for claim submission.

The position emphasizes patient experience, collaboration with physicians and payors, and adherence to HIPAA and company policies.

Qualifications

• Minimum: High school diploma or GED.
• One year of related experience preferred in medical or financial services.
• Experience operating a PC and basic software applications.

Responsibilities

• Completes scheduling, preregistration, and financial clearance processes.
• Verifies insurance information and payor requirements; communicates with physicians, case management, and payors as needed.
• Calculates patient financial responsibilities and posts transactions; assists in collections as appropriate.
• Delivers positive patient experience and maintains relationships with patients, AHN leadership, staff, and external contacts.

Education

High school diploma or GED

Job description

Allegheny Health Network is seeking a Patient Access specialist to perform scheduling, preregistration, eligibility checks, authorization validation, and financial estimations. The role involves collecting patient information, communicating financial responsibilities, and ensuring accurate data for claim submission.

The position emphasizes patient experience, collaboration with physicians and payors, and adherence to HIPAA and company policies.