Authorization Specialist I

100 Albany Med Health System; Broadway (VA); On-site; USD 49,763 - 69,668; Full time

Job summary

100 Albany Med Health System is seeking a Patient Engagement Authorization Specialist I to work within the Patient Engagement Center. In this role, you will secure financial clearance, interact with patients and insurance representatives, and ensure compliance with authorization guidelines.

To succeed, you should have an Associate's Degree, relevant certification, and years of experience in related environments. Strong customer service skills and attention to detail are essential to thrive in this rewarding position.

Qualifications

• 3-5 years in a hospital, physician office, or call center environment.
• CHAA certification to be acquired within 2 years of hire.
• Strong insurance knowledge related to complex scheduling and authorization management.

Responsibilities

• Secure financial clearance for Ambulatory and Surgical services.
• Interact with patients and insurance representatives to ensure compliance.
• Use eligibility portals to verify insurance and capture information.

Skills

Customer service skills

Strong knowledge of payer authorization requirements

Excellent attention to detail

Critical thinking

Problem-solving skills

Team-minded work ethic

Education

Associate's Degree

Bachelor's Degree (preferred)

Job description

Position Overview

Job Title: Patient Engagement Authorization Specialist I (IAS II)

Department/Unit: Patient Engagement Center

Work Shift: Day (United States of America)

Salary Ranges: $49,763.00 - $69,668.00 annually; $17.97 - $28.76 hourly

Key Responsibilities

• Financially secure Ambulatory, Ancillary, Surgical and Procedural services, including Referral and Authorization.
• Perform Insurance Verification and Benefit interpretation to ensure adherence to insurance guidelines.
• Interact with patients, stakeholders, healthcare providers, and insurance representatives to secure financial clearance and ensure compliance with authorization and referral guidelines.
• Use eligibility application and authorization portals to verify insurance eligibility, interpret responses and capture appropriate health insurance information.
• Apply contractual benefits to the service rendered and collect patient financial obligation pre-services.
• Manage work in a high-volume, fast-paced environment and handle tight timeframes.
• Maintain composure under pressure and resolve issues or escalations as needed.
• Train and onboard colleagues and communicate effectively with the team.

Qualifications

• Education: Associate’s Degree required; Bachelor's Degree preferred.
• Licensure/Certification: CHAA (or to be acquired within 2 years of hire).
• Experience: 3-5 years in hospital, physician office, or call center environment with strong insurance knowledge related to complex scheduling and authorization management.
• Customer service skills with a winning personality and ability to exceed expectations.
• Strong knowledge of payer authorization requirements.
• Excellent attention to detail and ability to multi-task in stressful, high-patient-volume settings.
• Critical thinking and problem-solving skills, ability to interpret patient insurance benefits and apply contractual obligations.
• Team-minded work ethic and good judgment.

Additional Requirements

This role may require access to information considered sensitive to Albany Med Health System, 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 limited to 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 Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Albany Med Health System is an equal opportunity employer.