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Highmark HealthPosted 3 weeks ago

Patient Access Coordinator I-Pediatrics-Wexford

On-sitePittsburgh, Pennsylvania, United States

Full TimeHigh School Or EquivalentEnterprise

Job Summary

Conduct scheduling, preregistration, and financial clearance functions while validating patient demographics, verifying medical benefits, and identifying authorization requirements. Obtain limited clinical data, correct billing information for accurate submission, and collect liabilities through daily reconciliation in the ADT system. Verify insurance via payor contacts, provide follow-up to physicians and case management, and escalate complex self-pay calculations to Financial Counselors. Deliver positive patient experiences by articulating financial responsibilities clearly and maintaining relationships with external vendors and staff. Adhere to organizational policies, complete mandatory training, and maintain productivity standards.

Required Qualifications

  • Minimum High school diploma or GED
  • One previous year of related experience
  • Experience operating a PC
  • Experience using software applications

Desired Qualifications

  • Related experience within a medical setting
  • Related experience within a financial services setting
  • Related experience within a demanding customer service environment
  • Medical terminology
  • Obtaining insurance verifications
  • Call/Service Center experience

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