Allegheny Health Network (AHN) is hiring a Patient Access Coordinator II for its Sleep Medicine department at AGH. In this full-time, daylight shift role, you create the first impression of AHN's services, completing critical tasks like scheduling, pre-registration, and financial clearance. You will articulate information to patients and families while assuming clinical and financial risk for the organization.
What You'll Do
- Conduct scheduling and preregistration functions, validate patient demographic data, and verify medical benefits.
- Obtain limited clinical data based on service required and update all necessary information for accurate billing.
- Verify insurance information through payor contacts via telephone, online resources, or electronic verification systems.
- Identify payor authorization and referral requirements, providing documentation and follow-up to physician offices, case management, and payors.
- Calculate patient financial responsibilities, collect liabilities, and post payment transactions.
- Identify self-pay accounts and complex liability calculations, escalating to Financial Counselors as appropriate.
- Deliver a positive patient experience and maintain excellent working relationships with patients, AHN leadership, staff, and external agencies.
- Maintain focus on attaining productivity standards and recommend innovative approaches for enhancing performance.
- Adhere to AHN organizational policies and procedures and complete mandatory training.
- Communicate team barriers or process issues to team leads and assist team members with operational support and training.
What We're Looking For
- High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination.
- Two previous years of related experience, preferably within a medical setting, financial services, or a demanding customer service environment.
- Experience operating a PC and using software applications.
Nice to Have
- Certification with Healthcare Financial Management Association or as a Certified Revenue Cycle Representative.
- Call Center or Service Center experience.
Benefits & Compensation
- $1,000 Sign-On Bonus for External Hires meeting specific criteria.
Work Mode
This role requires full-time, onsite work.
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.
