Patient Access Specialist

Albany Medical Center • Albany, NY

84d • $46,947 - $65,726 • Remote

About The Position

This position will support setting up Telehealth visits for NYS Dept of Corrections clients with Albany Medical Center Emergency Medicine Providers. Position will process incoming referrals and be the liaison between the ED provider and DOCCS, setting up Webex and maintaining appointment calendar. Position is weekdays to include evenings and nights. Weekends include day, evening and overnight shifts, including holiday coverage. The Patient Access Specialist 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. Must be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition, responsible for decedent management, assuring accurate completion of death certificate and timely coordination of release of body to Funeral Home.

Requirements

• Strong computer skills
• 3-5 years of experience
• Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care
• Proven customer service skills 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 tasks
• Strong understanding of ADT system; encounter correction
• Ability to learn in classroom setting; utilizing resources
• Ability to remain composed under pressure
• Ability to review information and draw appropriate conclusions
• Good judgment and ability to be resourceful to problem solve; escalate issues as needed
• Team-minded work ethic
• Demonstrated ability to 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

Nice To Haves

• Hospital or Physician office experience
• Associates degree
• CHAA certification (or acquired within 2 years of hire)

Responsibilities

• Setting up Telehealth visits for NYS Dept of Corrections clients with Albany Medical Center Emergency Medicine Providers.
• Processing incoming referrals and acting as a liaison between the ED provider and DOCCS.
• Setting up Webex and maintaining appointment calendars.
• Capturing demographic and insurance information via telephone or patient facing.
• Using eligibility applications to verify insurance eligibility and interpreting responses.
• Understanding and applying contractual benefits to services rendered.
• Having financial discussions with patients regarding payment responsibility.
• Collecting financial responsibility from patients based on eligibility response or estimates for services.
• Working with Nursing Supervision and Patient Triage Manager for accurate bed assignment.
• Managing decedent affairs, ensuring accurate completion of death certificates and coordinating body release to funeral homes.

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: Full-time
• Career Level: Mid Level
• Education Level: Associate degree