Authorization & Financial Clearance Specialist II

Albany Medical Center; City of Albany (NY); On-site; USD 51,000 - 76,000; Full time

Job summary

Albany Medical Center is seeking an Authorization Specialist II to secure payments for ambulatory, surgical and clinic services. You will verify eligibility, interpret benefits and obtain authorizations while teaching new staff in a high-volume setting.

The role requires 3–5 years in hospital or office environments, strong insurance knowledge and skilled patient communication. Equal opportunity employer.

Qualifications

• Associate’s Degree required; bachelor’s preferred.
• 3–5 years in hospital, physician office, or call center environment.
• Strong insurance knowledge for complex scheduling and authorization.
• Ability to precept new team members.
• Proven customer service skills with ability to exceed expectations.
• Demonstrated knowledge of payer authorization requirements.
• Strong attention to detail and ability to multi-task in high volume.
• Capable of learning in classroom and remaining composed under pressure.
• Willing to train and onboard colleagues.
• Ability to interpret insurance benefits and contractual obligations.
• CHAA certification, or acquired within 2 years of hire.
• Learning Partner Module experience or equivalent substituted.

Responsibilities

• Responsible for financial clearance of scheduled services to avoid claim payment delays.
• Precept new team members for onboarding to Authorization Specialist I.
• Identify authorization needs including out-of-network management.
• Interpret payer information regarding eligibility and financial responsibility.
• Discuss financial obligation with patients when required.
• Interpret referrals to meet scheduling needs with multi-service coordination.
• Manage online forms and EHR templates for documentation.
• Comply with Federal, State, and Third-Party payer regulations.
• Review services to ensure appropriate setting of care is used.
• Obtain insurance information and verify active coverage for services.
• Provide thorough notes for conversations with patients/providers.
• Organize work to ensure no scheduling or authorization needs are missed.

Skills

Healthcare experience

Insurance knowledge

Customer service

Multi-tasking

Attention to detail

Precepting

Payer authorization knowledge

Team player

Communication skills

HIPAA compliance

Problem solving

Education

Associate’s Degree

Bachelor’s Degree (preferred)

Job description

Albany Medical Center is seeking an Authorization Specialist II to secure payments for ambulatory, surgical and clinic services. You will verify eligibility, interpret benefits and obtain authorizations while teaching new staff in a high-volume setting.

The role requires 3–5 years in hospital or office environments, strong insurance knowledge and skilled patient communication. Equal opportunity employer.