Patient Access Coordinator-pediatrics

Highmark Health

Verify patient demographic data
Validate medical benefits and plan codes
Calculate patient financial responsibilities
This role creates the first impression of Allegheny Health Network's services to patients and families while managing critical financial and clinical data

Job Summary

  • This role creates the first impression of Allegheny Health Network's services to patients and families while managing critical financial and clinical data.
  • The coordinator is responsible for verifying insurance information, obtaining necessary authorizations, and calculating accurate payment estimates for patients.
  • Employees must adhere to HIPAA regulations and protect confidential customer information while maintaining high productivity standards.

Matching Summary

This role creates the first impression of Allegheny Health Network's services to patients and families while managing critical financial and clinical data.

Skills & Requirements

Must-have

  • Verify patient demographic data
  • Validate medical benefits and plan codes
  • Calculate patient financial responsibilities
  • Obtain insurance authorizations and referrals
  • Perform daily reconciliation in ADT system

Nice-to-have

  • Experience in demanding customer service environment
  • Knowledge of medical terminology
  • Call center experience preferred
  • Ability to escalate complex liability accounts
  • Strong written and verbal communication skills

Key Requirements

  • Minimum High school diploma or GED
  • One year of related experience in medical or financial settings
  • Proficiency with PC software applications
  • Compliance with HIPAA and company privacy policies

Work Rights

Not specified

Tailored Resume

Cover Letter