Description
$1,000 Sign-On Bonus
Sign-On bonus is for External Hires only
Recipient must stay with AHN for a minimum of 1 year
Re-Hires may not have worked for AHN within the previous 12 months to qualify
GENERAL OVERVIEW :
This job 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.
Trains and assists other team members as necessary.
ESSENTIAL RESPONSIBILITIES :
Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order.
Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission.
Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system.
Identifies payor authorization / referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization / referral deficiencies.
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 and complex liability calculations and escalates account to Financial Counselors as appropriate.
Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors.
Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships.
- Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate.
- 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.
- Communicates team barriers, process flow or productivity issues to team lead. Assists team members with operational support and training.
Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required.
Performs other duties as assigned or required.
QUALIFICATIONS : Minimum
Minimum
- High school diploma or GED; or one three months related experience and / or training; or equivalent combination of education and experience.
- Two previous years 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
- Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
- 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, age, 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, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()
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
Patient Access Specialist/Front Office (Full-time Night Shift)
This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff. Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships. Verify insura...
Patient Care Technician II - T7 BMT/Heme/Oncology - West Penn Hospital - Full Time
Provides, obtains or performs and documents direct patient care and activities such as: activities of daily livings, encouraging and observing patient on incentive spirometer and/or cough and deep breath, skin survey, vital signs, specimen collection, phlebotomy, intake and output, meal consumption,...
Patient Services Associate II, Orthopedics (FT, Days) - Jefferson Einstein Montgomery County
Jefferson’s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results. The Patient Services Associate (PSA) II enhances the patient/customer exp...
Patient Care Technician - 8C General Surgery / Trauma - Allegheny General Hospital - Full Time
Provides, obtains or performs and documents direct patient care and activities such as: activities of daily living, skin survey, vital signs, ambulation, specimen collection, intake and output, meal consumption, height and weight, blood glucose testing/monitoring, point of care testing, bladder scan...
Patient Service Specialist-Dermatology- Full Time
The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group’s Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance...
Now Hiring Full-Time Retail Engagement Coordinator in Robinson
Times New Roman",serif">Style is never in short supply at our more than 500 HomeGoods stores and we are constantly on a mission to provide the little surprises and extra touches that make a house feel like home. Times New Roman",serif">Posting Notes: HomeGoods Store 0524. Leads the frontline t...
Retail Front End Supervisor - Full-Time
As a Retail Front End Supervisor, you’ll be an integral part of the store leadership team, working closely with Store Management in the areas of Merchandising, Customer Service, Operations, and Human Resources. Are you a self-starter with the ability to supervise store operations efficiently and eff...
Patient Access Coordinator I - AVH - Rotational Hours
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 e...
Patient Care Assistant Med Surg Medical 2 5-East Unit-Full Time Time-Nights Available
Demonstrates understanding and knowledge of the technology systems necessary for patient data collection into EMR. Maintains clean, safe and orderly work/patient environment by cleaning work stations/areas, equipment; stocking supplies; placing equipment in proper storage areas. In addition, this po...
Patient Care Technician (BH Fellow) - Western Psychiatric Hospital (Full-time | Various Units)
Acquires and distributes supplies and equipment to facilitate patient care delivery including, but not limited to, performing messenger functions, ordering, charging/crediting supplies, setting up patient care equipment within the scope of the nursing assistant position and stocking patient rooms an...