Clinical Access Coordinator-Pediatrics-Part-time

About the role

This position completes one or more of the following processes—scheduling, pre‑registration, financial clearance, authorization and referral validation, pre‑serviceability estimations, and collections—within Patient Access and creates the first impression of Allegheny Health Network’s services to patients, families, and other external customers. The role articulates information so patients, guarantors, and family members understand what to expect and their financial responsibilities, and assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.

Responsibilities

• Gather, prepare, and send billing for consults and testing at non‑Epic facilities.
• Respond to CRM requests for appointments.
• Balance and close cash drawer in Epic.
• Prepare deposit slip and/or deposit money into the bank and confirm deposit in Epic’s deposit tool.
• Complete preregistration functions such as validating patient demographic information and identifying and verifying medical benefits and insurance information.
• Collect copays and prior balances and post payment transactions (does not calculate estimates).
• Obtain authorizations for office visits, testing, and procedures.
• Check patients in and out.
• Register patients for billing not captured through Epic, organize manual billing, and send to billers.
• Scan documents into Epic and prepare charts for office visits.
• Proactively schedule and follow up with testing and manage follow‑up reports.
• Answer the phone, take messages, forward calls, and call patients to relay information.
• Work charge review and claim edit work queues.
• Proactively manage the wait list.
• Schedule procedures with patients and hospitals and advocate for MyChart sign‑up.
• Collect, sort, distribute, and prepare incoming and outgoing mail; provide information about services, physicians, and facilities.
• Communicate with physicians and mid‑level providers regarding schedule and patient issues (e.g., no‑shows).
• Order supplies to maintain inventory.
• Support medical record requests.
• Proactively identify and report office issues to supervisor.
• Perform 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.
• At least one year of related experience, preferably within a medical setting, financial‑service setting, and/or a demanding customer‑service environment.
• Experience operating a PC and using software applications.
• Preferred: Familiarity with medical terminology and obtaining insurance verifications.
• Preferred: Call/Service Center experience.

This role adheres to the ethical and legal standards and behavioral expectations set forth in the company’s Code of Business Conduct and related policies. Employees may have access to protected health information, cardholder data, or other confidential customer information and must comply with HIPAA, the company’s privacy and information security policies, and all applicable federal, state, and local laws.