Allegheny Health Network

PatientAccessCoordinator/Registration

Pittsburgh, Pennsylvania, United States FULL TIME
The Brief

“Patient Access Coordinator / Registration at Allegheny Health Network. Skills: scheduling, pre-registration, financial clearance, authorization and referral validation, collections, patient demographic data validation, medical benefits verification, insurance verification, patient financial responsibilities identification, liability calculation. Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-servi”

What You'll Achieve.

Maintains focus on 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 GED required, At least one (1) previous year of related healthcare Revenue Cycle experience, preferably within a financial clearance setting, Excellent customer service and communication skills, Experience operating PC and using software applications required

Nice to Have

Associates degree preferred, Call center experience preferred

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 have an understanding of 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

Maintains focus on attaining productivity standards

recommending new 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

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

Excellent customer service and communication skills; 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

Free ATS check

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