Patient Access Specialist - Emergency Department

Albany Medical Center • City of Albany, NY

1d • Onsite

About The Position

The Patient Access Specialist is responsible for the capture of demographic and insurance information either by telephone or patient facing. The position requires the use of an eligibility application to verify insurance eligibility, interpret the response, and capture appropriate health insurance information relevant to the service being rendered. This role also involves understanding and applying contractual benefits to services and engaging in financial discussions with patients regarding their payment responsibility. The specialist must be comfortable collecting financial responsibility from patients based on eligibility responses or service estimates.

Requirements

• HS Diploma
• CHAA (or acquired within 2 years of hire)
• Strong computer skills
• 3 – 5 years experience
• 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 multi-task in stressful and high patient volume unit
• Ability 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
• Excellent working knowledge of computer based applications with strong PC/keyboard skills
• Demonstrated organizational skills with excellent interpersonal and communication ability
• Must be able to push workstation on wheels (WOW) for extended period of time

Nice To Haves

• Associates Preferred
• Hospital or Physician office experience preferred
• 3 years front line registration and training experience
• Demonstrated expert knowledge of internal/external registration and billing systems
• Excellent decision making skills with analytical ability and strong attention to detail
• Ability to build confidence, raise skill level and promote a productive work environment

Responsibilities

• Capture demographic and insurance information either by telephone or patient facing
• Use eligibility application to invoke request to verify insurance eligibility
• Interpret eligibility response and capture appropriate health insurance information as it pertains to the service being rendered
• Understand and apply contractual benefits to the service being rendered
• Have a financial discussion with patient regarding payment responsibility
• Collect financial responsibility from the patient based on eligibility response or estimate for services

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

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