12 Rotational Shift jobs in the United States

**Company :**
Allegheny Health Network
**Job Description :**
GENERAL OVERVIEW:
Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within 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 when collecting and documenting information on behalf of the patient.
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 all necessary data to assure timely, accurate bill submission. (30%)
+ Verifies insurance information through payor contacts via 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 all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex 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 when appropriate. (10%)
+ 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. (10%)
+ Performs other duties as assigned or required.
QUALIFICATIONS:
Minimum
+ High school diploma or GED; or one - three months related experience and/or training; or equivalent combination of education and experience.
+ One previous year of related experience, preferably within a medical setting, financial servicessetting, and/or a demanding customer service environment
+ Experience operating a PC and using software applications
Preferred
+ Medical terminology and obtaining insurance verifications
+ 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 within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
GENERAL OVERVIEW:
Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within 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 when collecting and documenting information on behalf of the patient.
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 all necessary data to assure timely, accurate bill submission. (30%)
+ Verifies insurance information through payor contacts via 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 all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex 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 when appropriate. (10%)
+ 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. (10%)
+ Performs other duties as assigned or required.
QUALIFICATIONS:
Minimum
+ High school diploma or GED; or one - three months related experience and/or training; or equivalent combination of education and experience.
+ One previous year of related experience, preferably within a medical setting, financial servicessetting, and/or a demanding customer service environment
+ Experience operating a PC and using software applications
Preferred
+ Medical terminology and obtaining insurance verifications
+ 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 within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
GENERAL OVERVIEW:
Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within 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 when collecting and documenting information on behalf of the patient.
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 all necessary data to assure timely, accurate bill submission. (30%)
+ Verifies insurance information through payor contacts via 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 all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex 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 when appropriate. (10%)
+ 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. (10%)
+ Performs other duties as assigned or required.
QUALIFICATIONS:
Minimum
+ High school diploma or GED; or one - three months related experience and/or training; or equivalent combination of education and experience.
+ One previous year of related experience, preferably within a medical setting, financial servicessetting, and/or a demanding customer service environment
+ Experience operating a PC and using software applications
Preferred
+ Medical terminology and obtaining insurance verifications
+ 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 within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**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) within 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 have an understanding of their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.
**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 all necessary data to assure timely, accurate bill submission. (30%)
+ Verifies insurance information through payor contacts via 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 all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex 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 new approaches for enhancing performance and productivity when appropriate. (10%)
+ 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. (10%)
+ Performs other duties as assigned or required.
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ Excellent Customer Service and Communication Skills
+ Operating PC and using software applications
Preferred
+ Associate's Degree
+ Call Center Experience
+ 1 year with the Healthcare Revenue Cycle, preferably within a financial clearance setting
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within 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 when collecting and documenting information on behalf of the patient.
**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 all necessary data to assure timely, accurate bill submission. (30%)
+ Verifies insurance information through payor contacts via 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 all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex 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 when appropriate. (10%)
+ 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. (10%)
+ Performs other duties as assigned.
**QUALIFICATIONS:**
Minimum
+ 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
Preferred
+ Medical terminology and insurance knowledge
+ 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 within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Creates the first impression of Allegheny Health Network's (AHN) services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf. Completes one or more of the following processes (proper patient identification, scheduling, registration, financial clearance, authorization and referral validation, creates estimate, and payment collection when applicable). Connects patient to financial advocacy resources when appropriate, provides or obtains signatures on regulatory paperwork as required. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities.
Displays a strong attention to detail, excellent communication skills, empathy, and compassion for patients and their families. Has the ability to multitask, work swiftly under pressure in a high acuity patient environment, and work collaboratively with healthcare professionals. 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 while performing routine duties. Follows standard and isolation precautions to provide adequate protections for healthcare workers, patients, and visitors.
**ESSENTIAL RESPONSIBILITIES**
+ Conducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data to ensure timely, accurate bill submission to include workers compensation and motor vehicle claims. Provides or obtains signatures on regulatory paperwork as required. (40%)
+ Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay accounts and documents for follow up by self-pay vendor or financial advocacy department. (20%)
+ Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships. Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate. (10%)
+ Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information. Practices patient confidentiality. Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy. Central resource for registration and problem resolution during evenings, weekends, and holidays. (10%)
+ Ability to remain calm and professional when faced with stressful situations. Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions. (10%)
+ 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. (10%)
+ Other duties as assigned or requested.
**Q** **UALIFICATIONS:**
**Required**
+ 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

**Substitutions**
+ None
**Preferred**
+ Medical terminology and insurance knowledge
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Provides direct supervision of staff within the Pre-Service Center. Assists in the management of daily operational processes.
**ESSENTIAL RESPONSIBILITIES:**
+ Supervises staff, evaluates work and current state results, monitors staff time and recommends and implements corrective actions. Independently suggests new approaches for performance enhancement and improved productivity. Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of action for problem resolution. (20%)
+ Uses problem solving skills and planning abilities to diagnose and solve root process, payer and system issues impacting revenue cycle objectives. Addresses team barriers, process flow or productivity issues. Completes employee performance evaluations, monitors attendance and provides disciplinary action as necessary. (20%)
+ Organizes, delegates, monitors and measures special projects to ensure they are completed timely and accurately. Provides formal feedback on project results to management. (20%)
+ Independently leads initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership. Provides formal updates and closure. (15%)
+ Performs scheduling and preregistration duties including patient demographic validation, insurance benefit verification and coordination of benefits order. Excels in all areas of pre-service including scheduling, preregistration/registration, financial clearance and insurance verification, and check-in and financial collections. Trains and leads team members. (15%)
+ Delivers a positive patient experience in all encounters. Performs any written or verbal communication necessary to exchange information with designated contacts promoting effective working relationships. Resolves patient issues in a concise and informative manner. (10%)
+ Adheres to AHN organizational policies and procedures for relevant location and job scope.
+ Performs other duties as assigned or required
**QUALIFICATIONS:**
Minimum
+ BA/BS degree or equivalent work experience in a multi-physician medical practice or facility billing/business office specifically related to revenue cycle management, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
+ 3-5 years' experience in a multi-physician medical practice or facility billing/business office specifically related to revenue cycle management (including staff supervision).
+ Experience operating PC and using software applications.
Preferred
+ Call Center experience.
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
**GENERAL OVERVIEW:**
Creates the first impression of Allegheny Health Network's (AHN) services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf. Completes one or more of the following processes (proper patient identification, scheduling, registration, financial clearance, authorization and referral validation, creates estimate, and payment collection when applicable). Connects patient to financial advocacy resources when appropriate, provides or obtains signatures on regulatory paperwork as required. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities.
Displays a strong attention to detail, excellent communication skills, empathy, and compassion for patients and their families. Has the ability to multitask, work swiftly under pressure in a high acuity patient environment, and work collaboratively with healthcare professionals. 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 while performing routine duties. Follows standard and isolation precautions to provide adequate protections for healthcare workers, patients, and visitors.
**ESSENTIAL RESPONSIBILITIES**
+ Conducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data to ensure timely, accurate bill submission to include workers compensation and motor vehicle claims. Provides or obtains signatures on regulatory paperwork as required. (40%)
+ Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay accounts and documents for follow up by self-pay vendor or financial advocacy department. (20%)
+ Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships. Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate. (10%)
+ Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information. Practices patient confidentiality. Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy. Central resource for registration and problem resolution during evenings, weekends, and holidays. (10%)
+ Ability to remain calm and professional when faced with stressful situations. Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.(10%)
+ 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. (10%)
+ Other duties as assigned or requested.
**Q** **UALIFICATIONS:**
**Required**
+ 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

**Preferred**
+ Medical terminology and insurance knowledge
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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.
We endeavor to make this site accessible to any and all 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
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Allegheny Health Network
**Job Description :**
**$1,000 Sign-on Bonus**
**Sign-on bonus is for external hires only**
**Recipients must stay with AHN for minimum of 1 year**
**Rehires may not have worked with AHN within the previous 12 months to qualify**
**GENERAL OVERVIEW:**
Creates the first impression of Allegheny Health Network's (AHN) services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting information on the patient's behalf. Completes one or more of the following processes (proper patient identification, scheduling, registration, financial clearance, authorization and referral validation, creates estimate, and payment collection when applicable). Connects patient to financial advocacy resources when appropriate, provides or obtains signatures on regulatory paperwork as required. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities.
Displays a strong attention to detail, excellent communication skills, empathy, and compassion for patients and their families. Has the ability to multitask, work swiftly under pressure in a high acuity patient environment, and work collaboratively with healthcare professionals. 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 while performing routine duties. Follows standard and isolation precautions to provide adequate protections for healthcare workers, patients, and visitors.
**ESSENTIAL RESPONSIBILITIES**
+ Conducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data to ensure timely, accurate bill submission to include workers compensation and motor vehicle claims. Provides or obtains signatures on regulatory paperwork as required. (40%)
+ Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay accounts and documents for follow up by self-pay vendor or financial advocacy department. (20%)
+ Delivers positive patient experience. Cooperates with patients, all healthcare personnel, and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote positive working relationships. Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance and productivity when appropriate. (10%)
+ Maintain cohesive working relationships with healthcare personnel to communicate pertinent information such as alias name changes and information blocks to prevent release of information. Practices patient confidentiality. Accountable for accurate registration into electronic health record during system downtime with monitoring and reconciliation of every patient for accuracy. Central resource for registration and problem resolution during evenings, weekends, and holidays. (10%)
+ Ability to remain calm and professional when faced with stressful situations. Respond to inquiries from patients, visitors, hospital personnel, government agencies, etc. under all circumstances and conditions.(10%)
+ 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. (10%)
+ Other duties as assigned or requested.
**Q** **UALIFICATIONS:**
**Required**
+ 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

**Preferred**
+ Medical terminology and insurance knowledge
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all 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 all times. In connection with this, all employees must comply 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 all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply 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._
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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Req ID: J