Authorization Specialist I

1 day ago

Albany, NY, United States Albany Med Full time

Department/Unit:
Patient Engagement Center

Work Shift:
Day (United States of America)

Salary Range:
$46,220.72 - $64,709.01

Salary Range: $17.97 - $28.76

The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for financially securing Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization. Insurance Verification and Benefit interpretation to discern insurance guidelines are being adhered to. Ability to interact with patients and stakeholders for the successful financial clearance will be critical to be successful in the compliance of authorization and referral guidelines. Position requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. Position is required to use eligibility application and authorization portals 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 collect patient financial obligation pre-services.

Education:

  • Associates Degree; Bachelor Degree preferred
Licensure, Certification & Registration:
  • CHAA (or acquired within 2 years of hire)
Experience:
  • Winning customer service personality with ability to engage patients, provider and provider staff as well as insurance company representatives via telephone with superior patient experience.
  • 3 - 5 years' experience in Hospital or Physician office experience or call center environment, preferred
  • Strong insurance knowledge specific to complex scheduling needs and authorization management
Skills, Knowledge & Abilities:
  • Proven customer service skill with ability to exceed expectations
  • Demonstrated knowledge payer authorization requirements
  • Strong attention to detail
  • Ability to multi-task in stressful and high patient volume unit
  • Must be able to manage pressure of very tight timeframes to execute task
  • Ability to learn in classroom, utilizing resources
  • Ability to remain composure under pressure
  • Ability to train and onboard colleague
  • 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


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.

  • Authorization Specialist- Albany, NY- FT

    4 days ago

    Albany, NY, United States Trinity Health Full time

    Employment Type: Full time Shift: Day Shift Description: Authorization Specialist I - FULL TIME- Remote Summary We are looking for a self-starter to join a central team obtaining surgical prior authorizations for all surgical services performed by St Peter's Health Partners physicians. Office Hours: Monday-Friday This position is responsible for ensuring...

  • Authorization Specialist- Albany, NY- FT

    3 days ago

    Albany, NY, United States Trinity Health Full time

    Employment Type: Full time Shift: Day Shift Description: Authorization Specialist I - FULL TIME- Remote Summary We are looking for a self-starter to join a central team obtaining surgical prior authorizations for all surgical services performed by St Peter's Health Partners physicians. Office Hours: Monday-Friday This position is responsible for ensuring...

  • IES Administrative Tech Specialist

    2 weeks ago

    Albany, NY, United States StateJobsNY Full time

    Duties Description ITS provides operational support to state agencies on a 24x7x365 basis; some positions may be required to provide this critical service at any time. The mission of IES is to enhance the well-being of New Yorkers by transforming health and human service delivery through coordinated business practices, modernized technology, and strategic...

  • NYS IES Specialist Level 2

    6 days ago

    Albany, NY, United States Voyatek OnDemand Full time

    Opportunity Details Full Time NYS IES PRD-20251117-464 Specialist Level 2 - BI & Data Visualization Specialist Albany, NY (Hybrid) Outcomes. Delivered. Voyatek delivers outcome-driven technology solutions to public sector agencies and higher education institutions nationwide. For example, our technology: Facilitates access to nutritious food for children...

  • NYS IES Specialist Level 2

    7 days ago

    Albany, NY, United States Voyatek OnDemand Full time

    Opportunity Details Full Time NYS IES PRD-20251117-464 Specialist Level 2 - BI & Data Visualization Specialist Albany, NY (Hybrid) Outcomes. Delivered. Voyatek delivers outcome-driven technology solutions to public sector agencies and higher education institutions nationwide. For example, our technology: Facilitates access to nutritious food for children...

  • NYS IES Specialist Level 2

    2 days ago

    Albany, NY, United States Voyatek OnDemand Full time

    Opportunity Details Full Time NYS IES PRD-20251117-464 Specialist Level 2 - BI & Data Visualization Specialist Albany, NY (Hybrid) Outcomes. Delivered. Voyatek delivers outcome-driven technology solutions to public sector agencies and higher education institutions nationwide. For example, our technology: Facilitates access to nutritious food for children...

  • Finance Specialist I

    2 weeks ago

    Albany, NY, United States Capital Region BOCES Full time

    LOCATION: Central Administration – 900 Watervliet-Shaker Road BASIC FUNCTION: The incumbent in this position performs work under the general direction of the Finance Specialist III for Management Services to assist with workflow related to financial record keeping and financial transactions of the BOCES. Work assignments are received by a superior with...

  • Finance Specialist I

    3 days ago

    Albany, NY, United States Capital Region BOCES Full time

    LOCATION: Central Administration – CTE Albany BASIC FUNCTION: The incumbent in this position performs work under the general direction of the Finance Specialist III for Management Services to assist with workflow related to financial record keeping and financial transactions of the BOCES. Work assignments are received by a superior with major emphasis on...

  • Customer Experience Specialist I

    3 days ago

    Albany, NY, United States SolomonEdwards Full time

    About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the...

  • Customer Experience Specialist I

    2 weeks ago

    Albany, NY, United States SolomonEdwards Full time

    About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the...