Patient Access Specialist: Scheduling, Eligibility & Payments

Highmark Health; Wexford (Allegheny County); On-site; USD 42,000 - 62,000; Full time

Job summary

Allegheny Health Network is hiring for a Patient Access role focused on scheduling, preregistration, and financial clearance. You will verify demographics, benefits, and plan codes while communicating clearly with patients about their financial responsibilities.

The position requires a high school diploma or GED, and 0–3 months of related experience is acceptable. Prior experience in medical or financial services settings and insurance verifications is preferred.

Qualifications

• High school diploma or GED or equivalent; basic training or experience accepted.
• One year of related experience in medical, financial services, or customer service is preferred.
• Call center experience or familiarity with insurance verifications is a plus.

Responsibilities

• Schedules and pre-registers patients; verifies demographics and benefits; ensures correct plan codes and COB orders.
• Verifies insurance information via calls, online resources, or electronic systems; communicates required documentation to physicians, case management, and payors.
• Identifies patient financial responsibilities; estimates and collects liabilities; handles post-payment transactions in the ADT system.
• Delivers positive patient experience and maintains professional relationships with patients, AHN staff, physicians, and external partners.
• Maintains productivity standards and seeks ways to improve efficiency and outcomes.
• Adheres to AHN policies and completes required trainings within guidelines.
• Performs additional duties as assigned.

Skills

Scheduling

Pre-registration

Financial clearance

Authorization

Referral validation

Patient access

Education

High school diploma or GED

Tools

MS Office

Electronic verification system

Job description

Allegheny Health Network is hiring for a Patient Access role focused on scheduling, preregistration, and financial clearance. You will verify demographics, benefits, and plan codes while communicating clearly with patients about their financial responsibilities.

The position requires a high school diploma or GED, and 0–3 months of related experience is acceptable. Prior experience in medical or financial services settings and insurance verifications is preferred.