Patient Access Coordinator I - Emergency Department - Allegheny Valley Hospital - Full Time (rotational shift)

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, 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.
• Captures and updates all 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 all patient financial responsibilities, calculates estimates, collects liabilities, and performs daily reconciliation.
• Identifies self-pay accounts and documents for follow-up by self-pay vendor or financial advocacy department.
• Delivers a positive patient experience by cooperating with patients, healthcare personnel, and designated external agencies or vendors.
• Maintains focus on productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate.
• Maintains 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.
• Remains calm and professional when faced with stressful situations. Responds to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.
• Adheres to AHN organizational policies and procedures for relevant location and job scope.
• Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.

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

• Medical terminology and insurance knowledge preferred.

Skills

None

Benefits

N/A

Pay

N/A

Schedule

N/A