Patient Access Specialist II: Scheduling & Billing

Highmark Health; Monroeville (Allegheny County); On-site; USD 34,000 - 46,000; Full time

Job summary

Allegheny Health Network seeks a Patient Access Specialist to perform scheduling, preregistration, financial clearance, and authorization/referral validation. You will estimate and collect patient Liabilities and communicate financial responsibilities to patients and families, ensuring timely, accurate bill submission and a smooth first impression of AHN’s services.

The role emphasizes accurate data handling, benefits verification, and collaboration with physicians, case management, and external

Qualifications

• High school diploma or GED; or one - three months related experience and/or training; or equivalent combination of education and experience.
• Two previous years 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.
• Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative (preferred).
• Call/Service Center experience (preferred).

Responsibilities

• Conducts scheduling, preregistration functions, validates patient data and benefits, and ensures accurate data for bill submission.
• Verifies insurance information and payor requirements; provides documentation to physicians, case management, and payors.
• Identifies patient financial responsibilities, estimates, collects liabilities, and posts payments in the ADT system.
• Delivers a positive patient experience and maintains good relationships with patients, AHN leadership, and external contacts.

Skills

Customer service

Data entry

PC literacy

Education

High school diploma or GED

HFMA Certification

Tools

None

Job description

Allegheny Health Network seeks a Patient Access Specialist to perform scheduling, preregistration, financial clearance, and authorization/referral validation. You will estimate and collect patient Liabilities and communicate financial responsibilities to patients and families, ensuring timely, accurate bill submission and a smooth first impression of AHN’s services.

The role emphasizes accurate data handling, benefits verification, and collaboration with physicians, case management, and external