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Patient Access Coordinator I-Pediatrics-Part-time

Highmark Inc
  • Pittsburgh, PA
  • Autofill and Review
3 days ago
Highmark Inc

Job Description

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Patient Access Coordinator I-Pediatrics-Part-time

9795 Perry Highway, Suite 100, Wexford PA 15090, United States

Part time

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Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Administrative Services

Type Part time

Location(s) 9795 Perry Highway, Suite 100, Wexford PA 15090, United States

Brand Allegheny Health Network

Posted 11/10/2026

Req ID J282835

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Job Description

Company :

Allegheny Health Network

Job Description :

This role will support our pediatric expansion. This role will rotate schedules between Monday-Saturday, 7am-8pm.

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 services

setting, 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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Why Choose Allegheny Health Network?

When you join AHN, you're joining a dynamic, integrated network of 16 hospitals, advanced surgery centers, and neighborhood Health + Wellness Pavilions serving Western Pennsylvania.

We're driven by a simple promise: to get healthcare right. For us, that means constantly improving access, championing clinical quality, and putting the patient at the center of everything we do. As part of our team, you'll have the resources, the reach, and the support to make a meaningful difference every single day.

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

  • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
  • Time Off: Paid vacation, holidays, and dedicated volunteer time.
  • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
  • Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

  1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

  1. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

  1. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

  1. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

  1. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

Apply Now

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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 HRServices@highmarkhealth.org

Highmark Health. All Rights Reserved.

Numbers & Facts

LocationPittsburgh, PA
IndustryHealthcare Services
Company Size1,000 to 1,499 employees
Year Founded1996
Websitehttps://www.highmark.com/hmk2/index.shtml

About Company

Highmark provides millions of people with the security of quality health insurance

Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Skills

  • Administrative Skillsunmatched
  • Background Investigationunmatched
  • Case Managementunmatched
  • Clinical Dataunmatched
  • Clinical Data Collectionunmatched
  • Clinical Medicineunmatched
  • Coachingunmatched
  • Computer Securityunmatched
  • Corporate Policiesunmatched
  • Customer Escalationsunmatched
  • Customer Support/Serviceunmatched
  • Data Qualityunmatched
  • Demographicsunmatched
  • Documentationunmatched
  • English Languageunmatched
  • Federal Laws and Regulationsunmatched
  • Financial Managementunmatched
  • Financial Planningunmatched
  • Financial Riskunmatched
  • Financial Servicesunmatched
  • Fitnessunmatched
  • Flexible Spending Accountsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Healthcare Qualityunmatched
  • High School Diplomaunmatched
  • Hospitalunmatched
  • Incentive Programsunmatched
  • Information/Data Security (InfoSec)unmatched
  • Insuranceunmatched
  • Internet Securityunmatched
  • Leadershipunmatched
  • Legal Standardsunmatched
  • LinkedInunmatched
  • Medical Billingunmatched
  • Medical Officeunmatched
  • Medical Terminologyunmatched
  • Medicineunmatched
  • Network Integrationunmatched
  • On Site Supportunmatched
  • Organizational Skillsunmatched
  • Pediatricsunmatched
  • Pharmacyunmatched
  • Prescription Drugsunmatched
  • Presentation/Verbal Skillsunmatched
  • Reconciliationunmatched
  • Regulatory Complianceunmatched
  • Salesunmatched
  • Security Policyunmatched
  • State Laws and Regulationsunmatched
  • Strategic Analysisunmatched
  • Time Managementunmatched

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