Patient Access Spec

100 Albany Med Health System; City of Albany (NY); On-site; USD 47,000 - 66,000; Full time

Benefits offered by this job

Excellent health care coverage with no

A wide array of services and programs

Job summary

Albany Med Health System is seeking an Access Service Specialist in Albany, NY to handle patient registration, determine insurance eligibility, and secure authorizations for services.

The role includes onboarding new teammates after the Academy Training, training on responsibilities, and assisting patients with financial obligations and payment options while ensuring accurate EHR documentation.

Qualifications

• 3-5 years hospital, clinic, or insurance registration and authorization experience.
• Onboarding new team members after training.
• Knowledge of inpatient and observation guidelines and authorization for services.

Responsibilities

• Register patients and verify demographic/insurance information.
• Obtain authorization for services and coordinate with payers.
• Explain financial responsibility to patients and collect payments.
• Precept new team members and provide feedback.
• Maintain accurate records in the EHR and ensure regulatory forms are signed.

Skills

Registration & Eligibility

Customer Service

Onboarding new staff

Education

High School Diploma/G.E.D.

Associate's Degree

Tools

Electronic Health Record (EHR)

Job description

Department/Unit: Patient Access

Work Shift: Day (United States of America)

Salary Range: $46,947.00 - $65,726.00

The Access Service Specialist is responsible for the ability to register patients and securing authorization for recurring services. Ability to assess patients benefits securing inpatient services for payment. Additionally, the Access Service Specialist will have the responsibility to the onboarding/precepting new team members post the Academy Training. This includes providing on the job training of responsibilities specific to position hired into, following the Training Manual outline and providing constructive feedback to ensure the new hire success. The Access Service Specialist is responsible for the capture of demographic and insurance information either by telephone or patient facing. Position is required to use eligibility application to invoke request to verify insurance eligibility, interpret response and capture appropriate health insurance information as it pertains to the service being rendered. Must be comfortable in the explanation of out of pocket financial responsibility including informing the patient collection of financial responsibility and estimate for services.

Essential Duties and Responsibilities

• Responsible for accurate patient look up to ensure correct patient is being registered, in multiple units across Access and willingly provides coverage as needed, including flexing schedule.


• Ensure ability to discern coordination of benefits for inpatient services.


• Ability to obtain authorization for Apheresis and Infusion services; assuring all service level authorizations are obtained for pharmaceuticals required for service.


• Provides precepting for new team members at the conclusion of successful completion of The Academy. This includes assuring the Training Manual is imparted as outlined and constructive feedback provided to ensure successful onboarding.


• Ensures all inpatients or outpatient occupying a bed are financially cleared and all regulatory forms provided and/or signed prior to discharge.


• Responsible for discerning demographic and insurance information to ensure accurate registration


• Responsible to interpret information received from Insurance Payer regarding patient’s eligibility and financial responsibility


• Responsible for discussing financial obligation of patient and collect via cash, credit card or check


• Responsible for explaining regulatory forms and answer questions from patient; obtain signatures accordingly


• Responsible for scanning or managing online form template to maintain the Electronic Health Record


• Comprehend Federal, State, Third Party Payer regulations as it pertain to a hospital registration.

Qualifications

• High School Diploma/G.E.D. - required


• Associate's Degree - preferred


• 3-5 years Hospital, Clinic or Insurance Company – registration and authorization - required


• Ability to onboard new team member, post Academy Training - preferred


• Knowledge of Inpatient and Observation Guidelines specific to Notification of Admission and ability to obtain authorization for Recurring Services. (High proficiency)


• Understanding of regulatory forms requiring signature (High proficiency)


• Proven customer service skill with ability to exceed expectations


• Ability to multi-task in stressful and high patient volume unit


• Ability to train an adult learner and provide effective, constructive feedback


• Ability to learn in classroom setting; utilizing resources


• Ability to remain composed under pressure


• Ability to review information and draw appropriate conclusion


• Good judgement and ability to be resourceful to problem solve; elevate issues as needed


• Team minded worth ethic


• CHAA - Certified Healthcare Access Associate - preferred


• Equivalent combination of relevant education and experience may be substituted as appropriate.

Physical Demands

Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Constantly Hearing - Constantly Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely Thank you for your interest in Albany Medical Center!

Working Conditions

Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely

Benefits

• Excellent health care coverage with no copay at Albany Medical Center providers


• A wide array of services and programs to support emotional, physical, and mental wellbeing

Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.

Equal Opportunity Employer Statements

Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, 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 is 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 Medical Center 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. 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 is 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 Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including: Excellent health care coverage with no copay at Albany Medical Center providers A wide array of services and programs to support emotional, physical, and mental wellbeing Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.