1 - 2 years Winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Medical Terminology and Insurance Knowledge - preferred
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
Ability to learn in classroom, utilizing resources
Ability to maintain composure 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
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Constantly
Eye/Hand/Foot Coordination - Frequently
Working Conditions
Extreme cold - Rarely
Extreme heat - Rarely
Humidity - Rarely
Wet - Rarely
Noise - Occasionally
Hazards - Rarely
Temperature Change - Rarely
Atmospheric Conditions - Rarely
Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
Thank you for your interest in Albany Med Health System!
Albany M
Benefits
Health insurancePaid time off
Additional Information
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$46,215.00 - $60,080.00
The Pre-Service Specialist I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience assisting in scheduling services for our Hospital and Practice. This requires ability to work in a high-volume contact center and fast paced environment. Understanding complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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 collect patient financial obligation pre-services.
The Pre-Service Specialist I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-Service Specialist II as Career Ladder requirements indicate.
Essential Duties and Responsibilities
Responsible for scheduling appointments and services for assigned service line (POD) via the scheduling system following established scripting and protocols promoting physician satisfaction and scheduling efficiencies on behalf of our patients.
Ability to identify trigger words, symptoms and patient concerns, assuring calls are triaged to the respective Clinic Nursing team per protocol.
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
Ability to accurately interpret referral/physician order to meet the patient and/or provider need for scheduling of services correctly.
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 and practice pre-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
Obtains all insurance information from patient and verifies insurance to ensure active coverage for services being scheduling.
Provides thorough comments, where applicable for all conversations with patients or providers.
Albanymed · 100 Park Street Glens Falls, NY 12801