Authorization & Insurance Verification Specialist I

Albany Med; Town of Catskill (NY); Hybrid; USD 50,000 - 70,000; Full time

Job summary

Albany Med Health System is seeking an Authorization Specialist I to secure referrals and authorizations for ambulatory, ancillary, surgical and procedural services. You will verify insurance eligibility and interpret benefits to ensure financial clearance for patients.

The role requires handling high-volume scheduling, engaging patients and providers, and applying contractual benefits to collect patient obligations prior to services.

Qualifications

• Associates degree required; bachelor’s degree preferred.
• Industry knowledge of payer authorization requirements.
• Experience in hospital/physician office or call center settings.
• Ability to interpret insurance benefits and contractual obligations.

Responsibilities

• Secure referrals and authorizations for services.
• Verify insurance eligibility and interpret benefits for financial clearance.
• Interact with patients, providers, and insurers by phone.
• Work in a high-volume, fast-paced environment with accuracy.
• Apply contractual benefits and collect pre-service payments.

Skills

Customer service

Insurance knowledge

Attention to detail

Multi-tasking

Problem solving

Team player

Communication

Ability to train others

Education

Associates Degree

Bachelor Degree preferred

CHAA certification

Job description

Albany Med Health System is seeking an Authorization Specialist I to secure referrals and authorizations for ambulatory, ancillary, surgical and procedural services. You will verify insurance eligibility and interpret benefits to ensure financial clearance for patients.

The role requires handling high-volume scheduling, engaging patients and providers, and applying contractual benefits to collect patient obligations prior to services.