Hospital or Physician office experience, preferred
Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care
Skills, Knowledge & Abilities:
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
Thank you for your interest in Albany Med Health System!
Albany Med Health System is an equal opportunity employer.
Benefits
Health insuranceVision insurance
Additional Information
Department/Unit:
Admitting Operations
Work Shift:
Night (United States of America)
Salary Range:
$46,947.00 - $65,726.00
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.
Education:
Associates Preferred
Licensure, Certification & Registration:
CHAA (or acquired within 2 years of hire)
Albanymed · 43 New Scotland Avenue Albany, NY 12208