Allegheny Health Network
PatientAccessCoordinator/EmergencyDepartment
“Patient Access Coordinator / Emergency Department at Allegheny Health Network. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. Creates the first impression of Allegheny Health Network’s (AHN) services to patients, families, and other external customers upon arrival.. Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf.”
What You'll Achieve.
Maintains focus on attaining productivity standards
Industry & Context.
Must stand for long periods of time, use a computer on wheels at bedside, Follows standard and isolation precautions to provide adequate protections for healthcare workers, patients, and visitors.
What They're Looking For.
Must Have
High School/GED or one – three months related experience and/or or equivalent combination of education and experience, Experience operating a PC and using software applications, One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment
Nice to Have
Medical terminology and insurance knowledge
What You'll Do.
Creates the first impression of Allegheny Health Network’s (AHN) services to patients
and other external customers upon arrival.
Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf.
Completes one or more of the following processes (proper patient identification
authorization and referral validation
and payment collection when applicable).
Connects patient to financial advocacy resources when appropriate
provides or obtains signatures on regulatory paperwork as required.
Articulates information in a manner that patients
guarantors and family members understand so they know what to expect and understand their financial responsibilities.
and admitting functions independently at bedside
validates patient demographic data
identifies and verifies insurance information through payor contacts via telephone
or electronic verification systems utilizing accurate plan code and COB order.
Obtains limited clinical data based on service required.
Collects and updates all necessary data to ensure timely
accurate bill submission to include workers compensation and motor vehicle claims.
Provides or obtains signatures on regulatory paperwork as required.
Identifies all patient financial responsibilities
collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation.
Identifies self-pay accounts and documents for follow up by self-pay vendor or financial advocacy department.
Delivers positive patient experience.
Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.
Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information.
Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy.
Central resource for registration and problem resolution during evenings
Respond to inquiries from patients
etc. under all circumstances and conditions.
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.
How You'll Work.
Team & Collaboration
work collaboratively with healthcare professionals; Cooperates with patients, all healthcare personnel, and designated external agencies or vendors.; Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships.; Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information.
Communication Scope
excellent communication skills; Articulates information in a manner that patients, guarantors and family members understand; written or verbal communication
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