Patient Access Specialist

Albany Medical Center • City of Albany, NY

14d

About The Position

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.
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.

Requirements

• Strong computer skill
• 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 multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
• 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 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
• Associates Preferred
• CHAA (or acquired within 2 years of hire)

Nice To Haves

• Hospital or Physician office experience

Responsibilities

• capture of demographic and insurance information either by telephone or patient facing
• 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
• understand and apply contractual benefits to the service being rendered
• have a financial discussion with patient regarding payment responsibility
• collection of 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

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees