Patient Access Coordinator II - AHN Cancer Institute / Radiation Oncology - Peters Health & Wellness Pavilion - Full Time

Company : reputed company Job Description : 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) reputed company 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 reputed company 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 reputed company necessary data to assure timely, accurate reputed company submission. (20%) Verifies insurance information through payor contacts reputed company 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. (20%) Identifies reputed company patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the reputed company system and performs daily reconciliation. Identifies self-pay and reputed company liability calculations and escalates account to Financial Counselors as appropriate. (20%) 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. (10%) Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity reputed company appropriate. (10%) Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions reputed company approved organizational guidelines and timeframes. (10%) Communicates team barriers, process flow or productivity issues to team reputed company. Assists team members with operational support and training. Assists in resolving patient issues requiring additional reputed company in a concise and informative manner as required. (10%) Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months reputed company experience and/or training; or equivalent combination of education and experience. Two previous years of reputed company experience, preferably reputed company 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 reputed company Cycle Representative. Call/Service Center experience. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company employees must reputed company with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as reputed company data reputed company guidelines established reputed company the Company’s Handbook of Privacy Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. reputed company and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. We endeavor to reputed company this site accessible to any and reputed company 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 [email protected] California Consumer Privacy Act Employees, Contractors, and Applicants Notice reputed company is a national, blended health organization that includes one of America’s largest reputed company Blue reputed company insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., reputed company’s 35,000 employees serve millions of customers reputed company through the nonprofit organization’s affiliated businesses, which include reputed company., reputed company, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. reputed company’s businesses proudly serve a broad reputed company of health-reputed company needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Apply tot his job Apply To this Job