Patient Access Specialist – Scheduling & Benefits Verification

Highmark Health; Federal Hill (PA); On-site; USD 42,000 - 56,000; Full time

Job summary

Allegheny Health Network is seeking a Patient Access role to complete scheduling, preregistration, financial clearance, and authorization tasks while presenting AHN services clearly to patients and families. You will handle data, verify benefits, and document obligations, helping patients understand their financial responsibilities.

Responsibilities include data accuracy, insurance verification, and communicating with physician offices and payors to resolve deficiencies.

Qualifications

• Minimum 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.

Responsibilities

• 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 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.

Education

High school diploma or GED

Job description

Allegheny Health Network is seeking a Patient Access role to complete scheduling, preregistration, financial clearance, and authorization tasks while presenting AHN services clearly to patients and families. You will handle data, verify benefits, and document obligations, helping patients understand their financial responsibilities.

Responsibilities include data accuracy, insurance verification, and communicating with physician offices and payors to resolve deficiencies.