Patient Access Coordinator II (Front Desk) - Pediatric Orthopedics - Wexford - Full Time
Job details
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Patient Access Coordinator II (Front Desk) - Pediatric Orthopedics - Wexford - Full Time
Apply remote type On-site locations Wexford PA, 15090, 12620 Perry Highway No 2 time type Full time posted on Posted 2 Days Ago job requisition id J242684Company :
Allegheny Health NetworkJob Description :
$1,000 Sign-On Bonus *Sign-On bonus is for External Hires only Recipient must stay with AHN for a minimum of 1 year Re-Hires may not have worked for AHN within the previous 12 months to qualify GENERAL OVERVIEW: 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. ESSENTIAL 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 innovative 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.
- Communicates team barriers, process flow or productivity issues to team lead. Assists team members with operational support and training. Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required.
- Performs other duties as assigned or required.
- 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
- Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
- Call/Service Center experience.
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