Patient Access Coordinator II - Radiation Oncology - AHN Cancer Institute - Allegheny General Hospital 

Highmark Health • Pittsburgh, PA

88d

About The Position

This job 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 and 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 understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Trains and assists other team members as necessary.

Requirements

• Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.
• Two previous years of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment.
• Experience operating a PC and using software applications.

Nice To Haves

• Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
• Call/Service Center experience.

Responsibilities

• Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
• Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation.
• Delivers positive patient experience and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors.
• Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate.
• Adheres to AHN organizational policies and procedures for relevant location and job scope.
• Communicates team barriers, process flow or productivity issues to team lead.
• Assists team members with operational support and training.
• Performs other duties as assigned or required.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees