Patient Access Coordinators- Multiple Locations Available

Job ID: J119400
Location: Natrona Heights, PA, United States
Facility: Allegheny General Hospital
Full/Part Time: Full time
Job Type: Regular
Posted at:

Share:

Description

GENERAL OVERVIEW:

Completes one or more of the following processes (scheduling, pre-registration, financial clearance,
authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.

ESSENTIAL 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. (30%)
  • Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)
  • Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)
  • 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. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)
  • Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)
  • Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)
  • Performs other duties as assigned or required.

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

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

Clinical Quality Management Analyst - HCC Coder

Pittsburgh, PA, United States
Clinical Services

Manager of IT, Membership

Pittsburgh, PA, United States
IS/IT

Clinical Research Coordinator - Cardiovascular Institute

Pittsburgh, PA, United States
Research

Senior Office Manager - Women's Health - Monroeville

Monroeville, PA, United States
Administrative Services

Patient Access Coordinator II - Orthopedics - Federal North - Full Time

Pittsburgh, PA, United States
Administrative Services

Registered Nurse- CTICU Weekend

Monroeville, PA, United States
Nursing

Data Scientist - (Specialty Pharmacy)

Pittsburgh, PA, United States
Other

Nurse Practitioner - Saint Vincent Hospital Surgery

Erie, PA, United States
Direct Patient Care Providers

Respiratory Therapist

Erie, PA, United States
Tech

Food Services Associate Sr

Monroeville, PA, United States
Food/Nutrition

Cafeteria Food Service Associate

Pittsburgh, PA, United States
Food/Nutrition

Physical Therapist

Robinson Township, PA, United States
Rehab

Manager, Case Management

Pittsburgh, PA, United States
Nursing

Manager Operations Quality Control

Pittsburgh, PA, United States
Claims

Senior Enrollment & Billing Representative

Pittsburgh, PA, United States
Customer Service

Senior Financial Systems Analyst

Camp Hill, PA, United States
IS/IT

Service Associate - Part-time - Days

Jefferson Hills, PA, United States
Facilities Management & Real Estate

Environmental Services Associate - Full-time - Days

Monroeville, PA, United States
Facilities Management & Real Estate

Group Settlement Analyst- Financial

Pittsburgh, PA, United States
Finance

Senior Consultant - Supervisor

Pittsburgh, PA, United States
IS/IT

Environmental Services Housekeepper - Full -time

Canonsburg, PA, United States
Facilities Management & Real Estate

Senior Architect

Pittsburgh, PA, United States
IS/IT

Manager, Partnership Performance

Pittsburgh, PA, United States
Other

Environmental Services Associate - Part-time - Days

Monroeville, PA, United States
Facilities Management & Real Estate