Patient Access Specialist

Patient Access SpecialistThis position will support setting up Telehealth visits for NYS Dept of Corrections clients with Albany Medical Center Emergency Medicine Providers. Position will process incoming referrals and be the liaison between the ED provider and DOCCS, setting up Webex and maintaining appointment calendar. Position is weekdays to include evenings and nights. Weekends include day, evening and overnight shifts, including holiday coverage.The Patient Access 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. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility from the patient based on eligibility response or estimate for services. Must be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition, responsible for decedent management, assuring accurate completion of death certificate and timely coordination of release of body to Funeral Home.EducationAssociates PreferredLicensure, Certification & RegistrationCHAA (or acquired within 2 years of hire)ExperienceStrong computer skill3 – 5 years experienceHospital or Physician office experience, preferredStrong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of CareSkills, Knowledge & AbilitiesProven customer service skill with ability to exceed expectationsAbility to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute taskStrong understanding of ADT system; encounter correctionAbility to learn in classroom setting; utilizing resourcesAbility to remain composed under pressureAbility to review information and draw appropriate conclusionGood judgement and ability to be resourceful to problem solve; escalate issues as neededTeam minded worth ethicDemonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligationsCritical thinking ability regarding issues with financially securing paymentAbility to discuss sensitive concepts with patients regarding financial obligationsThank you for your interest in Albany Med Health System! 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.