Clinical Access Coordinator I - Bridgeville - Part Time

Highmark Inc. Bridgeville , PA 15017

Posted 2 months ago

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

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.

ESSENTIAL RESPONSIBILITIES:

  • Gathers, prepares and sends billing for consults and testing at non-Epic facilities

  • Responds to CRM requests for appointments

  • Balances and closes cash drawer in Epic

  • Prepares deposit slip and/or deposits money into bank and confirms deposit in Epic deposit tool

  • Completes preregistration functions such as validating patient demographic information, identifying and verifying medical benefits and insurance information

  • Collects copays and prior balances and posts payment transactions. Does not calculate estimates

  • Obtains authorizations for office visit, testing and procedures

  • Checks patient in/out

  • Registers patient for billing not captured through Epic and organizes manual billing and sends to billers

  • Scans documents into EPIC and prepares chart for office visits

  • Proactively schedules and follows up with testing and manages follow up report

  • Answers the phone, takes messages and forwards calls and calls patient to relay information.

  • Works charge review and claim edit workqueues

  • Proactively manages wait list

  • Schedules procedures with patient and hospital and advocates MY CHART sign up

  • Collects, sorts, distributes and prepares incoming and outgoing mail and provides information about services, physicians and facilities

  • Communicates with physicians and midlevel providers regarding schedule and patient issues (no shows)

  • Orders supplies to maintain inventory

  • Support Medical Record request

  • Proactively identify and report office issues to supervisor

  • Performs other duties as assigned

QUALIFICATIONS:

Minimum

  • High school diploma or GED; or one three months related experience and/or training; or equivalent combination of education and experience.

  • One previous year 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

Preferred

  • Medical terminology and obtaining insurance verifications

  • Call/Service Center experience


Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org


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Clinical Access Coordinator I - Bridgeville - Part Time

Highmark Inc.