Patient Access Coordinator / Registration - AHN Outpatient Oncology - Sewickley - Full Time

Highmark Health•Sewickley, PA

About The Position

The Patient Access Coordinator / Registration 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 an initial impression of AHN’s services for patients, families, and external customers, and explains information so patients, guarantors, and family members understand what to expect and their financial responsibilities. The position assumes organizational clinical and financial risk when collecting and documenting patient information. The role also follows AHN policies and procedures, completes required training, protects confidential information in accordance with HIPAA and company security policies, and complies with the Code of Business Conduct and applicable laws. 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, 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 as required; and update information to support timely, accurate billing.
Verify insurance information through payer contacts, online resources, or electronic verification systems; identify authorization and referral requirements; and document and follow up on deficiencies with physician offices, case management, and payers.
Identify patients’ financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and perform daily reconciliation.
Identify self-pay accounts and complex liability calculations and refer accounts to Financial Counselors as appropriate.
Promote 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 support working relationships.
Work toward productivity standards and recommend approaches to improve performance and productivity when appropriate.
Follow AHN policies and procedures relevant to the location and job scope.
Complete or attend mandatory training and education within approved organizational guidelines and timeframes.
Protect covered information, cardholder data, and other confidential customer information in accordance with HIPAA and company privacy and information security policies.
Comply with the Code of Business Conduct, applicable laws and regulations, company policies, and training requirements.
Perform other duties as assigned or required.