Pediatric Patient Access Specialist

Highmark Health; Wexford (Allegheny County); On-site; USD 22,000 - 30,000; Full time

Job summary

Allegheny Health Network seeks a Patient Access Specialist to support scheduling, preregistration and financial clearance. This role will rotate Monday–Saturday, 7am–8pm, and will be the first point of contact for patients and families.

The position emphasizes accurate data, benefits verification, and clear communication about financial responsibilities. Responsibilities include obtaining insurance verifications, calculating patient liabilities, and ensuring timely billing submissions.

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.
• Preferred Medical terminology and obtaining insurance verifications.
• Call/Service Center experience.

Responsibilities

• Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
• 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.
• Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate.
• Adheres to AHN organizational policies and procedures for relevant location and job scope.
• Performs other duties as assigned or required.

Skills

Customer service

Medical terminology

Insurance verifications

Data entry

Education

High school diploma or GED

Tools

PC software

Electronic verification system

Job description

Allegheny Health Network seeks a Patient Access Specialist to support scheduling, preregistration and financial clearance. This role will rotate Monday–Saturday, 7am–8pm, and will be the first point of contact for patients and families.

The position emphasizes accurate data, benefits verification, and clear communication about financial responsibilities. Responsibilities include obtaining insurance verifications, calculating patient liabilities, and ensuring timely billing submissions.