Access Service Specialist

Albany Medical Center • Albany, NY

7d • Onsite

About The Position

The Access Service Specialist is responsible for registering patients and securing authorization for recurring services. This role involves assessing patient benefits to ensure payment for inpatient services. A key responsibility includes onboarding and precepting new team members after their Academy Training, providing on-the-job training based on the Training Manual, and offering constructive feedback for successful integration. The specialist captures demographic and insurance information either by telephone or in-person, utilizing eligibility applications to verify insurance, interpreting responses, and accurately recording health insurance details relevant to the service. They must be proficient in explaining out-of-pocket financial responsibilities to patients, including providing estimates for services and collecting payments.

Requirements

• High School Diploma/G.E.D.
• 3-5 years Hospital, Clinic or Insurance Company – registration and authorization
• Knowledge of Inpatient and Observation Guidelines specific to Notification of Admission and ability to obtain authorization for Recurring Services. (High proficiency)
• Understanding of regulatory forms requiring signature (High proficiency)
• Proven customer service skill with ability to exceed expectations
• Ability to multi-task in stressful and high patient volume unit
• 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

Nice To Haves

• Associate's Degree
• Ability to onboard new team member, post Academy Training
• Ability to train an adult learner and provide effective, constructive feedback
• CHAA - Certified Healthcare Access Associate

Responsibilities

• Responsible for accurate patient look up to ensure correct patient is being registered, in multiple units across Access and willingly provides coverage as needed, including flexing schedule.
• Ensure ability to discern coordination of benefits for inpatient services.
• Ability to obtain authorization for Apheresis and Infusion services; assuring all service level authorizations are obtained for pharmaceuticals required for service.
• Provides precepting for new team members at the conclusion of successful completion of The Academy.
• Ensures all inpatients or outpatient occupying a bed are financially cleared and all regulatory forms provided and/or signed prior to discharge.
• Responsible for discerning demographic and insurance information to ensure accurate registration.
• Responsible to interpret information received from Insurance Payer regarding patient’s eligibility and financial responsibility.
• Responsible for discussing financial obligation of patient and collect via cash, credit card or check.
• Responsible for explaining regulatory forms and answer questions from patient; obtain signatures accordingly.
• Responsible for scanning or managing online form template to maintain the Electronic Health Record.
• Comprehend Federal, State, Third Party Payer regulations as it pertains to a hospital registration.

Benefits

• Excellent health care coverage with no copay at Albany Medical Center providers
• A wide array of services and programs to support emotional, physical, and mental wellbeing

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees