Patient Access Coordinator I - Foot & Ankle - Erie - Full time - Days

Highmark Health•Erie, PA

13d

About The Position

The Patient Access Coordinator completes one or more Patient Access processes, including scheduling, preregistration, financial clearance, authorization and referral validation, and pre-service estimates and collections. The role creates the first impression of AHN’s services for patients, families, and external customers, and communicates information clearly so patients, guarantors, and family members understand what to expect and their financial responsibilities. The coordinator assumes clinical and financial risk for the organization when collecting and documenting information on behalf of patients. The position also supports a positive patient experience, productive working relationships, accurate billing, and compliance with organizational policies, privacy requirements, data security guidelines, and the Code of Business Conduct. Other duties may be assigned or required.

Requirements

High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination of education and experience.
One year of related experience, preferably in a medical setting, financial services setting, or demanding customer service environment.
Experience operating a PC and using software applications.

Nice To Haves

Medical terminology and experience obtaining insurance verifications.
Call or service center experience.

Responsibilities

Conduct scheduling and preregistration; validate patient demographic data; identify and verify medical benefits, plan codes, and coordination-of-benefits order; obtain limited clinical data based on the service required; and update information to support timely, accurate billing.
Verify insurance information using payor contacts, online resources, or electronic verification systems; identify authorization and referral requirements; and provide documentation and follow-up to physician offices, case management, and payors regarding deficiencies.
Identify patient financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and perform daily reconciliation.
Identify self-pay cases and complex liability calculations, escalating accounts to Financial Counselors as appropriate.
Deliver a positive patient experience and maintain effective working relationships with patients, AHN leadership and staff, physician offices, and designated external agencies or vendors.
Communicate as needed with designated contacts to exchange information and promote working relationships.
Maintain focus on productivity standards and recommend innovative approaches to enhance performance and productivity when appropriate.
Follow AHN organizational policies and procedures applicable to the location and job scope, and complete or attend required training and education within established guidelines and timeframes.
Perform other duties as assigned or required.
Protect covered information, cardholder data, and confidential customer information; comply with HIPAA, company privacy and information security policies, the Code of Business Conduct, applicable laws, and training requirements.