Allegheny Health Network

PatientAccessCoordinator-Neurology-AGH-FullTime

Pennsylvania, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Entry candidates.

The Brief

“Patient Access Coordinator - Neurology - AGH - Full Time at Allegheny Health Network. Skills: scheduling, pre-registration, financial clearance, authorization and referral validation, collections, insurance verification, patient financial responsibility calculation, patient experience delivery. Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patien”

What You'll Achieve.

Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.; Assures timely, accurate bill submission.; Attaining productivity standards.

Industry & Context.

Problems you'll solve

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.

What They're Looking For.

Must Have

High school diploma or one – three months related experience and/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

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.

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.

How You'll Work.

Team & Collaboration

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.; 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; Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships

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 c

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