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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 by collecting and documenting patient information, completing processes such as patient identification, scheduling, registration, financial clearance, authorization and referral validation, estimate creation, and payment collection. Connects patients to financial advocacy resources and obtains necessary signatures on regulatory paperwork. Articulates information clearly to ensure patients understand their financial responsibilities.

Responsibilities

Conducts scheduling, registration, and admitting functions independently at bedside.
Validates patient demographic data and identifies/verifies insurance information.
Obtains limited clinical data based on service requirements.
Collects and updates necessary data for timely, accurate bill submission, including workers compensation and motor vehicle claims.
Provides or obtains signatures on regulatory paperwork.
Identifies all patient financial responsibilities, calculates estimates, collects liabilities, and posts payment transactions.
Performs daily reconciliation of financial transactions.
Identifies self-pay accounts and documents for follow-up.
Delivers a positive patient experience.
Cooperates with patients, healthcare personnel, and designated external agencies or vendors.
Performs necessary written or verbal communication to exchange information and promote positive working relationships.
Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance.
Maintains cohesive working relationships with healthcare personnel to communicate pertinent information.
Practices patient confidentiality.
Accountable for accurate registration into the electronic health record during system downtime.
Serves as a central resource for registration and problem resolution during evenings, weekends, and holidays.
Responds to inquiries from patients, visitors, hospital personnel, and government agencies.
Adheres to AHN organizational policies and procedures.
Completes and/or attends mandatory training and education sessions.
Performs other duties as assigned or requested.

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.
Must stand for long periods of time and use a computer on wheels at bedside.
Adheres to all EMTALA guidelines and AHN policies and procedures.
Follows standard and isolation precautions.
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.
Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Complies with all data security guidelines.
Complies with the company’s Code of Business Conduct.
Adheres to applicable federal and state laws, rules, and regulations.
Adheres to training requirements.

Skills

Strong attention to detail
Excellent communication skills
Empathy
Compassion
Ability to multitask
Ability to work swiftly under pressure
Ability to work collaboratively with healthcare professionals
Ability to remain calm and professional when faced with stressful situations
Medical terminology knowledge (preferred)
Insurance knowledge (preferred)

Experience Level

One previous year of related experience

Education Level

High School/GED

Salary/Compensations

$19.00 - $27.74

About the Company

Allegheny Health Network (AHN)

Equal Opportunity

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 any category protected by applicable federal, state, or local law.
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