PATIENT ACCESS SPECIALIST

1 month ago

Albany NY USA, United States Albany Medical Center Full time
Department/Unit:

Admitting Operations

Work Shift:

Day (United States of America)

The Patient Access Specialist is responsible for the capture of demographic and insurance information either by telephone or patient facing. Position is required to use eligibility application to invoke request to verify insurance eligibility, interpret response and capture appropriate health insurance information as it pertains to the service being rendered. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility from the patient based on eligibility response or estimate for services.

Education:

 Associates Preferred

Licensure, Certification & Registration:

 CHAA (or acquired within 2 years of hire)

Experience:

 Strong computer skill

 3 - 5 years experience

 Hospital or Physician office experience, preferred

 Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care

Skills, Knowledge & Abilities:

 Proven customer service skill with ability to exceed expectations

 Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task

 Strong understanding of ADT system; encounter correction

 Ability to learn in classroom setting; utilizing resources

 Ability to remain composed under pressure

 Ability to review information and draw appropriate conclusion

 Good judgement and ability to be resourceful to problem solve; escalate issues as needed

 Team minded worth ethic

 Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations

 Critical thinking ability regarding issues with financially securing payment

 Ability to discuss sensitive concepts with patients regarding financial obligations

Job Description

- Greets customers/patients in a friendly and professional manner- Answers and routes incoming calls as appropriate- Scans and files paperwork- Requires multi-tasking capabilities- Requires adherence to strict confidentiality guidelines

Job Requirements

- High School Graduate or equivalent plus at least 2 years applicable experience, or Associate of Applied Science (AAS) degree with 1-year applicable experience or combination of some college and 1-year experience- Working knowledge of computer-based application and strong PC/keyboard skills.- Strong attention to detail and demonstrated ability to use sound judgment in decision making.- Excellent organizational skills with demonstrated time management skills.- Ability to handle high workload volume.- Excellent customer service skills and ability to communicate effectively both written and verbal.- Ability to be flexible and demonstrated ability to be adaptable.

Salary Range: $18.00/hr -$23.79/hr

Thank you for your interest in Albany Medical Center​

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a need to know and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Med is the centerpiece of medicine, research, and medical education in New York's CapitalRegion and is the area's largest private employer with more than 10,000 employees.

Albany Med offers excellent career opportunities in a wide range of roles in both patient care andadministration. We value all our staff members and offer outstanding employee benefits including:

+ Excellent health care coverage (http://albanymedcareers.com/benefits/employee-health-%20benefits/) with lower copays at most Albany Med providers.

+ A wide array of services and programs to support emotional, physical, and mental wellbeing (http://albanymedcareers.com/benefits/employee-advantages/)

Anchored in the state's historic capital city, Albany Med offers a full range outpatient and inpatient careand is home to the region's largest hospital, only Level 1 trauma center, and only children's hospital. Thedowntown campus also offers opportunities at Albany Medical College.

Albany Med partners with Columbia Memorial Health, Saratoga Hospital and Glens Falls Hospital to form the Albany Med Health System, serving more than three million people over 25 counties.

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