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

Highmark Health•Erie, PA

11d

About The Position

The Patient Access Coordinator I 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 a first impression of AHN’s services for patients, families, and external customers, explaining information clearly so people 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 requires compliance with organizational policies, applicable laws and regulations, confidentiality requirements, HIPAA, and information-security policies. Employees must protect covered information, cardholder data, and other confidential customer information and complete required training.

Requirements

High school diploma or GED; alternatively, 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, and/or demanding customer service environment.
Experience operating a PC and using software applications.

Nice To Haves

Medical terminology knowledge 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; and correct or update information to support timely, accurate billing.
Verify insurance information through 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 patients’ financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and perform daily reconciliation; identify self-pay and complex-liability accounts and escalate them 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 approaches to enhance performance and productivity when appropriate.
Follow AHN organizational policies and procedures applicable to the location and job scope.
Complete or attend mandatory training and education sessions within approved organizational guidelines and timeframes.
Perform other duties as assigned or required.
Protect confidential information and comply with HIPAA, company privacy and information-security policies, the Code of Business Conduct, and applicable laws and regulations.