Patient Access Senior Associate - Emergency Department

Albany Medical Health System•Albany, NY

51d

About The Position

The Patient Access Senior Associate 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.

Requirements

HS Diploma, Associates Preferred
CHAA (or acquired within 2 years of hire)
Strong computer skills
3 - 5 years experience
Hospital or Physician office experience preferred
Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care
Proven customer service skill with ability to exceed expectations
Ability to multitask 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 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

Responsibilities

Responsible for creating encounters in ADT representing service patient is receiving
Responsible to discern demographic and insurance information to ensure and accurate registration
Responsible to interpret information received from Insurance Payer regarding patient's eligibility and financial responsibility
Responsible to discuss financial obligation of patient and collect via cash, credit card or check
Responsible to explain 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.
Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow.
Responsible for review of services being rendered to ensure the appropriate setting of care has been assigned by the physician's office; if not, physician staff will be advised of the contractual or regulatory expectation warranting a change of setting of care. For example: Inpatient to Outpatient or Inpatient Only requirement
Ability to respond to requests for estimates for service being rendered or expected to be rendered
Contact patient if issues or data missing impeding ability to financially secure encounter.
Responsible for securing encounters with extremely tight timeframes due to late booking of service