Allegheny Health Network Careers

Title: Patient Access Coordinator
Position: 51893
Location: Wexford Health and Wellness
Status: Full TimeJob Summary:

• 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.
• 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.

Job 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.
• 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.
• 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.
• 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 contacts and promote working relationships.
• 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.

• Education:
  
  High School diploma or GED required. Associates degree preferred. Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative preferred.

Licensure/ Certification/ Registration:

* Works under minimal supervision.
* Performs duties in accordance with departmental guidelines.
* Seeks direction for issues outside of guidelines.
* Clear understanding of the impact pre-registration services has on Revenue Cycle operations and financial performance.
* Excellent written, verbal communication and interpersonal skills.
* Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment.
* A demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment.
* Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality