Allegheny Health Network Careers

Date Posted: 12-19-16

Position Number: 54980

Location: 4 Allegheny Center

Allegheny Health Network is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities. With more than 14,000 employees including 7,400 health care professionals, nearly 200 primary care and specialty care practices, Allegheny Health Network includes seven hospitals in Pennsylvania with nearly 2,400 licensed beds.

Allegheny Health Network’s clinical expertise ranges from primary care to the most complex surgical procedures. Services include cancer diagnosis and treatment, cardiovascular care, neurological and neurosurgical services, organ transplantation, orthopedic and rehabilitation services, and women’s health.

Department: PFS Administration

Status: Full-time

Union/ Non-union: Non-union

Job Summary: Serves as preliminary contact for patients who contact the Patient Billing Office with inquiries regarding AHN self pay statement balances. Works within the EPIC Resolute Billing system and Meditech to resolve any billing related issues while ensuring patient satisfaction. Consistently upholds the standards of the customer service program.

Responsibilities:

• Serves as a preliminary contact for AHN patients by greeting them over the phone in a pleasant and professional manner according to the customer service policy.
• Prioritizes patient inquiries according to the revenue cycle policy.
• Uses EPIC Resolute Billing System and Meditech to process adjustments, rebillings, and payments according to the revenue cycle policy.
• Gathers and analyzes payor data to achieve optimal reimbursement.
• Ensures that accurate demographic and payor information is reflected in the billing system.
• Obtains verification of patient insurance benefits as needed, identifying enrollment issues and analyzing available coverage.
• Identifies deductibles, out-of-pocket expenses, co-payments, percentage payables, preferred providers, and other boundaries that are payor driven.
• Informs and educates patients regarding issues identified at the time of reimbursement assessment.
• Assists with payment arrangements for patients according to payment plan policy.
• Advises patients regarding diverse issues related to insurance/benefits and recommends resolutions within guidelines.
• Processes cash payments for services rendered.
• Balances daily cash drawer according to revenue cycle policy.
• Identifies and recommends process improvements related to current operating procedures.
• Keeps abreast of trends, developments, and practices by participating in continuing education classes and reading current literature.
• Performs other duties as assigned or required.

Requirements:                        

• Two years of experience in medical billing or patient registration processing.