Allegheny Health Network Careers

Date Posted: 1-6-17

Position Number: 54986

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: Epic Single Billing

Status: Full-time, non-union

Job Summary:

Responsible for placing/receiving calls to patients/guarantors on outstanding invoices in order to attempt to obtain payment or some other form of funding.

Job Responsibilities:

• Places calls to patients/guarantors regarding outstanding patient balances. Transitions from patient to patient and is able to address any questions they may pose. Attempts to either: obtain full payment, obtain payment plans, find other sources of funding, identify Presumptive charity accounts, or have patients apply for charity care.
• Using in-depth knowledge of AHN's Charity Care policy, assists patients/guarantors with beginning their application.
• Using in-depth knowledge of AHN's payment plan policy, establishes payment plans in the accounting systems.
• Applies knowledge of individual governmental programs' (e.g. Medicare, Medicaid, etc.) eligibility criteria to assist patients/guarantors with beginning the eligibility process or helps them access a financial counselor or the correct firm to begin the eligibility process.
• Coordinates between patients/guarantors, insurance companies and medical group personnel. Makes proper notations (updating insurance information, entering detailed notes) in the patient accounting system.
• Assists with bankruptcy processes.
• Monitors report activities as defined in policies and procedures as related to area of responsibility.
• Reads EOBs and either posts or requests an adjustment to be posted when necessary.
• Escalates problem accounts as applicable.
• Recommends system changes to fix problems that may arise due to internal or external department problems.
• Performs other job related duties as assigned.

Preferred Experience:

• Two years of patient accounting experience preferred.
• Basic understanding of ICD9, HCPCS, UB04, 1500 claim form and medical terminology preferred.

Experience Required:

• High school diploma or equivalent required.
• Basic understanding of the Third Party billing/collection regulations relative to Medicare, Medical Assistance, Managed Care Contracts, Non-contracted insurances, Blue Cross, Workers Comp and Auto.
• Comfortable using the available patient accounting system software.
• Communication: Must be able to communicate with patients, payors, outside agencies, and general public through telephone, electronic and written correspondence. Ability to build positive working relationships outside the immediate work group.
• Computer: Knowledge of MS Office and patient accounting systems. Keyboard and mouse proficiency.
• Organizational: Able to prioritize workload/daily activities. Able to handle expected volume of work. Adapts well to change. Able to quickly problem solve and escalate appropriate problems to supervisor
• Customer Service: Takes required customer actions to meet customers' needs. Responds promptly and accurately to customers' complaints, inquiries and requests for information and coordinates appropriate follow up.