Patient Access Coordinator I / ED - Casual - Rotational - West Penn

About the role

Creates the first impression of Allegheny Health Network’s (AHN) services to patients, families, and other external customers upon arrival. Assumes clinical and financial risk of the organization when collecting and documenting information on the patient's behalf.

Responsibilities

• Schedules, registers, and admits patients independently at bedside.
• Validates patient demographic data and identifies and verifies insurance information through payor contacts.
• Obtains limited clinical data based on service required.
• Captures and updates necessary data to ensure timely, accurate bill submission, including workers compensation and motor vehicle claims.
• Provides or obtains signatures on regulatory paperwork as required.
• Identifies patient financial responsibilities, calculates estimates, collects liabilities, and processes post-payment transactions in the ADT system.
• Identifies self-pay accounts and documents them for follow-up by self-pay vendor or financial advocacy department.
• Delivers a positive patient experience by cooperating with patients, healthcare personnel, and external agencies or vendors.
• Maintains focus on productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.
• Maintains accurate registration into the electronic health record during system downtime and monitors reconciliation of every patient for accuracy.
• Acts as a central resource for registration and problem resolution during evenings, weekends, and holidays.
• Remains calm and professional when faced with stressful situations and responds to inquiries from patients, visitors, hospital personnel, and external agencies.
• Complies with EMTALA guidelines and AHN policies and procedures while performing routine duties.
• Follows standard and isolation precautions to protect healthcare workers, patients, and visitors.

Requirements

• High School/GED or one to three months related experience and/or training, or equivalent combination of education and experience.
• Experience operating a PC and using software applications.
• One year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environment.

Qualifications

• Medical terminology and insurance knowledge.