Job Information
Albany Medical Center Patient Access Specialist - Emergency Department in Albany, New York
Department/Unit:
Admitting Operations
Work Shift:
Evening (United States of America)
Salary Range: $18.00 - $23.79
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.
Essential Duties and Responsibilities
Responsible for creating encounters in ADT representing service patient is receiving
Responsible to discern demographic and insurance information to ensure and accurate registration
Responsible to interpret information received from Insurance Payer regarding patient’s eligibility and financial responsibility
Responsible to discuss financial obligation of patient and collect via cash, credit card or check
Responsible to explain regulatory forms and answer questions from patient; obtain signatures accordingly
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 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; if not, physician staff will be advised of the contractual or regulatory expectation warranting a change of setting of care. For example: Inpatient to Outpatient or Inpatient Only requirement
Ability to respond to requests for estimates for service being rendered or expected to be rendered
Contact patient if issues or data missing impeding ability to financially secure encounter.
Responsible for securing encounters with extremely tight timeframes due to late booking of service
Qualifications
High School Diploma/G.E.D. - required
Associate's Degree relevant area of study
3 – 5 years experience in a hospital or physician office - required
Strong computer skills
Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care (High proficiency)
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 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
CHAA - Certified Healthcare Access Associate upon hire or acquired within 2 years of hire within 1-1/2 Yrs - required
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Albany Med is the centerpiece of medicine, research, and medical education in New York’s CapitalRegion and is the area's largest private employer with more than 10,000 employees.
Albany Med offers excellent career opportunities in a wide range of roles in both patient care andadministration. We value all our staff members and offer outstanding employee benefits including:
Excellent health care coverage (http://albanymedcareers.com/benefits/employee-health-%20benefits/) with lower copays at most Albany Med providers.
A wide array of services and programs to support emotional, physical, and mental wellbeing (http://albanymedcareers.com/benefits/employee-advantages/)
Anchored in the state’s historic capital city, Albany Med offers a full range outpatient and inpatient careand is home to the region’s largest hospital, only Level 1 trauma center, and only children’s hospital. Thedowntown campus also offers opportunities at Albany Medical College.
Albany Med partners with Columbia Memorial Health, Saratoga Hospital and Glens Falls Hospital to form the Albany Med Health System, serving more than three million people over 25 counties.