Patient Access Authorization Specialist I

100 Albany Med Health System; Penn Hills (Allegheny County); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Wellbeing programs

Job summary

Albany Med Health System is seeking a Patient Engagement Authorization Specialist I (IAS II) to secure financial clearance for ambulatory, ancillary, surgical and procedural services. The role involves securing referrals and authorizations, verifying insurance eligibility, and interpreting benefits to ensure compliance with guidelines.

The position requires interacting with patients and stakeholders in a high-volume, fast-paced environment and using eligibility portals to verify information and

Qualifications

• Associates degree required; bachelor's preferred.
• 3-5 years in hospital, physician office, or call center.
• Strong insurance knowledge related to complex scheduling and authorization.

Responsibilities

• Secure payment responsibility for Ambulatory, Ancillary, Surgical and Procedural services including referrals and authorizations.
• Interact with patients and stakeholders to ensure financial clearance in a high-volume setting.
• Use eligibility and authorization portals to verify insurance eligibility, interpret responses and capture required health insurance information.
• Understand and apply contractual benefits to services and collect patient financial obligation pre-services.
• Maintain accuracy and compliance with HIPAA and system guidelines.

Skills

Customer service

Attention to detail

Multi-tasking

Empathy

Education

Associates Degree

Bachelor Degree preferred

Tools

Eligibility portals

Insurance verification systems

Job description

Albany Med Health System is seeking a Patient Engagement Authorization Specialist I (IAS II) to secure financial clearance for ambulatory, ancillary, surgical and procedural services. The role involves securing referrals and authorizations, verifying insurance eligibility, and interpreting benefits to ensure compliance with guidelines.

The position requires interacting with patients and stakeholders in a high-volume, fast-paced environment and using eligibility portals to verify information and