Ambulatory Authorization Specialist I

Albany Medical College; City of Albany (NY); On-site; USD 49,763 - 69,668; Full time

Job summary

Albany Med Health System is seeking an Authorization Specialist I to secure referrals and authorizations, verify insurance, and interpret benefits for ambulatory and surgical services.

The role requires strong customer service skills, attention to detail, and the ability to manage high volumes while maintaining compassionate patient care. A related degree and CHAA certification are preferred.

Qualifications

• Associates Degree required; Bachelor's degree preferred.
• CHAA certification or to be acquired within 2 years of hire.
• 3–5 years’ experience in hospital/physician office or call center preferred.
• Experience with insurance guidelines and authorization processes.

Responsibilities

• Secure referrals and patient authorizations for ambulatory, ancillary, surgical and procedural services.
• Verify insurance eligibility and interpret benefits to determine coverage.
• Apply contractual benefits to services and collect patient financial obligations pre-services.
• Interact with patients, providers, and insurer representatives to facilitate financial clearance.
• Work effectively in a high-volume, fast-paced environment while maintaining empathy.

Skills

Customer service

Insurance verification

Authorization management

Attention to detail

Multi-tasking

Communication skills

Teamwork

Education

Associate degree

Bachelor's degree preferred

Tools

Eligibility portals

Job description

Albany Med Health System is seeking an Authorization Specialist I to secure referrals and authorizations, verify insurance, and interpret benefits for ambulatory and surgical services.

The role requires strong customer service skills, attention to detail, and the ability to manage high volumes while maintaining compassionate patient care. A related degree and CHAA certification are preferred.