Albany, NY, USA
3 days ago
Patient Access Specialist

Department/Unit:

Registration

Work Shift:

Day (United States of America)

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.

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 skill3 – 5 years experienceHospital or Physician office experience, preferredStrong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care

Skills, Knowledge & Abilities:    

Proven customer service skill with ability to exceed expectationsAbility to multitask in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute taskStrong understanding of ADT system; encounter correctionAbility to learn in classroom setting; utilizing resourcesAbility to remain composed under pressureAbility to review information and draw appropriate conclusionGood judgement and ability to be resourceful to problem solve; escalate issues as neededTeam minded worth ethicDemonstrated ability interpret patient’s insurance benefits and apply the applicable contractual obligationsCritical thinking ability regarding issues with financially securing paymentAbility to discuss sensitive concepts with patients regarding financial obligations

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.

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