Allegheny Health Network
PatientAccessCoordinatorFTRotationalHWPWexford
“Patient Access Coordinator - FT - Rotational - HWP Wexford at Allegheny Health Network. Skills: scheduling, pre-registration, financial clearance, authorization and referral validation, pre-serviceability estimations, collections, patient demographic data validation, medical benefits verification, plan code and COB order verification, insurance verification, patient financial responsibilities identification, liability calculation, payment transaction posting, daily reconciliation. Completes one ”
What You'll Achieve.
attaining productivity standards
Industry & Context.
Corrects and updates all necessary data to assure timely, accurate bill submission; Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate
Rotational
What They're Looking For.
Must Have
one – three months related experience and/or 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
Nice to Have
Medical terminology and obtaining insurance verifications, Call/Service Center experience
What You'll Do.
Completes one or more of the following processes (scheduling
authorization and referral validation and pre-serviceability estimations and collections) within Patient Access
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
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
Verifies insurance information through payor contacts via telephone
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
Identifies all patient financial responsibilities
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
Delivers positive patient experience
Maintains focus on attaining productivity standards
Recommending innovative approaches for enhancing performance and productivity when appropriate
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
Performs other duties as assigned or required
How You'll Work.
Team & Collaboration
Cooperating with and maintaining excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors; Performing any written or verbal communication necessary to exchange information with designated contacts and promote working relationships; Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies
Communication Scope
Articulates information in a manner that patients, guarantors and family members understand; written or verbal communication necessary to exchange information with designated contacts and promote working relationships
Applying for this Patient Access Coordinator - FT - Rotational - HWP Wexford role?
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