Patient Access Coordinator I / ED - Rotational - Full Time - Wexford

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

• Conducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order.
• Obtains limited clinical data based on service required.
• Collections and updates all necessary data to ensure timely, accurate bill submission to include workers compensation and motor vehicle claims.
• Provides or obtains signatures on regulatory paperwork as required.
• 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 accounts and documents for follow up by self-pay vendor or financial advocacy department.
• Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors.
• Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships.
• Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.
• Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information.
• Practices patient confidentiality.
• Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy.
• Central resource for registration and problem resolution during evenings, weekends, and holidays.
• Able to remain calm and professional when faced with stressful situations.
• Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.

Requirements

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

Qualifications

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