Highmark Health - Jefferson Hills, PA

posted 2 days ago

Full-time
Jefferson Hills, PA
Insurance Carriers and Related Activities

About the position

The Patient Access Coordinator II in the Emergency Department at Jefferson Hospital plays a crucial role in ensuring a smooth patient experience by managing scheduling, pre-registration, financial clearance, and insurance verification processes. This position serves as the first point of contact for patients and their families, providing essential information about financial responsibilities and services offered by Allegheny Health Network (AHN). The coordinator also assists in onboarding new hires and acts as a subject matter expert within the department.

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 experience and superior customer service when interacting with all patients, AHN leadership and staff, physician offices and designated external agencies or vendors.
  • Assists with onboarding new hires to the department, and acts as a subject matter expert to support team as needed.
  • Maintains focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate.
  • Accountable for following all downtime procedures during a system downtime, and completing an accurate registration when the system recovers in a timely manner.
  • Adheres to AHN organizational policies and procedures for relevant location and job scope.
  • Communicates team barriers, process flow or productivity issues to department leadership, while taking the initiative to participate in problem solving activities.
  • Performs other duties as assigned or required.

Requirements

  • High School/GED
  • 2 years in the Healthcare Revenue Cycle, preferably within a financial clearance setting
  • Excellent Customer Service and Communication Skills
  • Operating PC and using software applications

Nice-to-haves

  • Associate's Degree
  • Call Center experience
  • 3 years of relevant experience

Benefits

  • $1,000 Sign-On Bonus for external hires who stay with AHN for a minimum of 1 year.
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