Patient Access Coordinator II - AHN Cancer Institute - Bethel Park

Patient Access Coordinator II - AHN Cancer Institute - Bethel Park

Apply for the Patient Access Coordinator II - AHN Cancer Institute - Bethel Park role at Allegheny Health Network
.

Allegheny Health Network

This position completes scheduling, pre‑registration, financial clearance, authorization and referral validation, and pre‑serviceability estimations and collections within Patient Access. You create the first impression of AHN’s services for patients, families, and external customers, ensuring they understand what to expect and their financial responsibilities. You assume clinical and financial risk on behalf of the organization when collecting and documenting information, and you train and assist other team members as needed.

• Conducts scheduling and pre‑registration functions, validates patient demographic data, and verifies medical benefits and plan code. Obtains limited clinical data based on service required and corrects all data to ensure timely, accurate bill submission (20%).
• Verifies insurance information through payor contacts, online resources, or electronic verification. Identifies payor authorization/referral requirements and provides documentation and follow‑up to physician offices, case management, and payors regarding deficiencies (20%).
• Identifies patient financial responsibilities, calculates estimates, collects liabilities, posts payments, and performs daily reconciliation. Escalates self‑pay and complex liability calculations to Financial Counselors as needed (20%).
• Delivers a positive patient experience, maintains excellent working relationships with patients, AHN leadership, staff, physician offices, and external agencies (10%).
• Maintains focus on productivity standards and recommends innovative approaches to enhance performance when appropriate (10%).
• Adheres to AHN policies and procedures, completes mandatory training, and attends education sessions within guidelines (10%).
• Communicates team barriers, process flow or productivity issues to the team lead and assists team members with operational support and training. Resolves patient issues requiring additional oversight concisely and informatively (10%).
• Performs other duties as assigned or required.

• High school diploma or GED, or one–three months related experience and/or training, or an equivalent combination of education and experience.
• Two years of related experience, preferably within a medical setting, financial services setting, or a demanding customer service environment.
• Experience operating a PC and using software applications.

• Certification with the Healthcare Financial Management Association or Certified Revenue Cycle Representative.
• Call/Service Center experience.

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required to perform this job.

Compliance Requirement – This job adheres to the ethical and legal standards and behavioral expectations set forth in the code of business conduct and company policies.

As part of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. All employees must comply with HIPAA, privacy policies, and all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Employees also must comply with the company’s Code of Business Conduct, including adherence to applicable federal and state laws, rules, regulations, and company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on veteran or disability status and all protected categories under applicable federal, state, or local law.

We endeavor to make this site accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice.

Entry level

Full‑time

Health Care Provider

Hospitals and Health Care