Allegheny Health Network Job - 33568713 | CareerArc
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Company: Allegheny Health Network
Location: Pittsburgh, PA
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

The purpose of this position is to serve as a liaison between patient/family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.



Essential Job Functions

  • Maintain compliance with EMTALA, DNV, HIPAA and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
  • Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
  • Answer telephone in a professional and courteous manner, record messages and communicate to appropriate medical staff
  • Provide and obtain signatures on required forms and consents
  • Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
  • Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
  • Obtain insurance authorizations as required by individual insurance plans, documenting authorization numbers in the appropriate fields for accurate billing
  • Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
  • Scan all registration and clinical documentation into the system and maintain all medical records
  • Obtain patient satisfaction surveys from all patients upon discharge
  • Coordinate the transfer of patients to other hospitals when necessary
  • Respond to medical record requests from patients, physicians and hospitals
  • Maintain cash drawer according to policies
  • Maintain log of all patients, payments received, transfers and hospital admissions
  • Maintain visitor log


Other Job Functions

  • Maintain a clean working environment for the facility. This includes the front desk, restroom, waiting room, break area and patient rooms when assistance is needed by medical staff
  • Receive deliveries including mail from various carriers and forward to appropriate departments
  • Notify appropriate contact of any malfunctioning equipment or maintenance needs
  • Attend staff meetings or other company sponsored or mandated meetings as required
  • Assist medical staff as needed
  • Perform additional duties as assigned


Basic Qualifications

  • High School Diploma or GED, required
  • 1 year patient registration and insurance verification experience in a health care setting, strongly preferred
  • Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, strongly preferred
  • Basic understanding of medical terminology
  • Excellent customer service
  • Working knowledge of MS Office (MS Word, Excel and Outlook)
  • Position requires fluency in English; written and oral communication


About Us

Allegheny Health Network (AHN) has partnered with Emerus, a nationally recognized, innovative leader in the delivery of emergency, inpatient, and diagnostic medical health care and the nation's first and largest operator of micro-hospitals.  From the moment a patient walks through the door, a team of exceptional medical professionals take charge, treating patients with speed, compassion and expertise.  Our state-of-the-art hospitals are fully accredited and provide highly individualized care.  We have created a special place where patients can expect the highest level of care when every second counts right in your neighborhood.


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