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Full-time
high school
Posted 10d ago
~40 hrs/week
Responsibilities
The Patient Access Coordinator manages patient scheduling, pre-registration, and financial clearance processes to ensure accurate billing and data documentation. They also verify insurance benefits, obtain necessary authorizations, and provide a positive experience for patients and families.
Requirements
Candidates must have at least a high school diploma or GED and one year of related experience in a medical, financial, or customer service setting. Proficiency with PC software and knowledge of medical terminology or insurance verification is preferred.
Full job description
Company :
Allegheny Health Network
Job 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
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
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 any category protected by applicable federal, state, or local law.
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 the email below.
Our mission is to create a remarkable health experience, freeing people to be their best.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Headquarters
Pittsburgh, Pennsylvania
LinkedIn followers
76,246
Total funding
$3M
Allegheny Health Network is an integrated health care delivery system serving the greater Western Pennsylvania region. More than 2,600 physicians and 21,000 employees serve the system's 16 hospitals as well as its ambulatory medical and surgery centers, Health + Wellness Pavilions, and hundreds of physician practice locations.
AHN is a proud part of Highmark Health.
Offices: 4800 Friendship Ave, Pittsburgh, Pennsylvania 15224, US · 2570 Haymaker Rd, Monroeville, Pennsylvania 15146, US · 320 E North Ave, Pittsburgh, Pennsylvania 15212, US · 12351 Perry Hwy, Wexford, Pennsylvania 15090, US · 1301 Carlisle St, Natrona Heights, Pennsylvania 15065, US
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Based on 2823 listings with disclosed salaries, most healthcare jobs in Pennsylvania pay between $63k–$180k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Pennsylvania right now?
There are currently 29,355 open healthcare positions in Pennsylvania listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Pennsylvania?
Companies currently hiring include UPMC, CVS Health, Temple Health – Temple University Health System, Allegheny Health Network, EmmUcare Home Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Pennsylvania?
Yes — 2822 of the 29355 open healthcare positions offer remote or hybrid work (967 remote, 1855 hybrid).
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