Patient Access Coordinator

Job ID: J123375
Company: Saint Vincent Medical Education & Research Institute, Inc
Location: Erie, PA, United States
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

Medical Economics Consultant-1

Pittsburgh, PA, United States
Finance

Patient Care Tech- Full Time

Jefferson Hills, PA, United States
Patient Support

Service Portfolio Manager - Project Leader

Pittsburgh, PA, United States
Other

Senior Consultant - Integrated Planning and Delivery

Pittsburgh, PA, United States
IS/IT

Enrollment Quality Coordinator

Pittsburgh, PA, United States
Claims

Associate Claims Processor

Pittsburgh, PA, United States
Claims

Associate Claims Processor

Camp Hill, PA, United States
Claims

Patient Attendant / Sitter - Forbes Hospital

Monroeville, PA, United States
Patient Support

Certified Registered Nurse Practitioner - Allegheny County Jail

Pittsburgh, PA, United States
Direct Patient Care Providers

Registered Nurse, CTICU/PCU

Pittsburgh, PA, United States
Nursing

VP, Executive Medical Director-Strategic Initiatives

Pittsburgh, PA, United States
Clinical Services

Mental Health Technician

Erie, PA, United States
Tech

Union OCR Verification Clerk

Triadelphia, WV, United States
WVA unit jobs

Medical Ecnomics Analyst

Pittsburgh, PA, United States
Finance

Surgical Technician II

Pittsburgh, PA, United States
Tech

Specialty Contracting Specialist

Pittsburgh, PA, United States
Procurement

Associate Claims Processor

Pittsburgh, PA, United States
Claims

Project Management Analyst

Pittsburgh, PA, United States
Other

PRESERVICES COORDINATOR

Pittsburgh, PA, United States
Administrative Services

Single Billing Office Representative

Pittsburgh, PA, United States
Finance

Clinical Transformation Consultant- Government (WV Territory)

Home, WV, United States
Provider Services

Surgical Physician Assistant - Esophageal & Lung Institute - West Penn

Pittsburgh, PA, United States
Direct Patient Care Providers

Manager Accounting and Reporting

Pittsburgh, PA, United States
Finance

ATHLETIC TRAINER I

Pittsburgh, PA, United States
Rehab

Emergency Room Tech

Erie, PA, United States
Emergency Services