Clinical Access Coordinator - OBGYN - Gibsonia - Full-time

Highmark Inc

PA

JOB DETAILS
SKILLS
Administrative Skills, Billing, Clinical Data Collection, Co-Payments, Computer Security, Consulting, Corporate Policies, Customer Relationship Management (CRM), Customer Support/Service, Data Quality, Demographics, Documentation, English Language, Epic Systems, Facebook, Federal Laws and Regulations, Financial Management, Financial Risk, Financial Services, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, High School Diploma, Hospital, Information/Data Security (InfoSec), Internet Security, Inventory Management, Legal Standards, LinkedIn, Mail Processing, Medical Billing, Medical Office Administration, Medical Records, Medical Terminology, Medical Treatment, Medicine, Obstetrics and Gynecology, Order Supplies, Organizational Skills, PC Software, Patient Assessment, Patient Registration, Regulatory Compliance, Sales, Security Policy, State Laws and Regulations, Telephone Skills, Testing, YouTube
LOCATION
PA
POSTED
6 days ago

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Administrative Services

Clinical Access Coordinator - OBGYN - Gibsonia - Full-time

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Clinical Access Coordinator - OBGYN - Gibsonia - Full-time

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Gibsonia PA, 15044, 5375 William Flynn Highway

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 understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.

ESSENTIAL RESPONSIBILITIES:

  • Gathers, prepares and sends billing for consults and testing at non-Epic facilities
  • Responds to CRM requests for appointments
  • Balances and closes cash drawer in Epic
  • Prepares deposit slip and/or deposits money into bank and confirms deposit in Epic deposit tool
  • Completes preregistration functions such as validating patient demographic information, identifying and verifying medical benefits and insurance information
  • Collects copays and prior balances and posts payment transactions. Does not calculate estimates
  • Obtains authorizations for office visit, testing and procedures
  • Checks patient in/out
  • Registers patient for billing not captured through Epic and organizes manual billing and sends to billers
  • Scans documents into EPIC and prepares chart for office visits
  • Proactively schedules and follows up with testing and manages follow up report
  • Answers the phone, takes messages and forwards calls and calls patient to relay information.
  • Works charge review and claim edit workqueues
  • Proactively manages wait list
  • Schedules procedures with patient and hospital and advocates MY CHART sign up
  • Collects, sorts, distributes and prepares incoming and outgoing mail and provides information about services, physicians and facilities
  • Communicates with physicians and midlevel providers regarding schedule and patient issues (no shows)
  • Orders supplies to maintain inventory
  • Support Medical Record request
  • Proactively identify and report office issues to supervisor
  • Performs other duties as assigned

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.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Recruitment Fraud Alert

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Job Details

  • Job category Administrative Services
  • Position Type Full Time
  • Posted 07/16/2026
  • Location(s) Gibsonia PA, 15044, 5375 William Flynn Highway
  • Line of Business
  • Entity
  • Recruiter
  • Hiring Manager
  • Experience Level
  • Job Family Patient Access-AHN
  • Req ID J284781

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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 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 HRServices@highmarkhealth.org.

2026 Highmark Health. All Rights Reserved.

About the Company

H

Highmark Inc

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.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
FOUNDED
1996
WEBSITE
https://www.highmark.com/hmk2/index.shtml