Insurance and Authorization Manager, Access Services- Patient Engagement Center

Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $70,068.00 - $108,605.00 Job Summary The position is responsible for the daily operations of the Pre‑Service functions of the Patient Engagement Center Insurance and Authorization complement– related to eligibility verification, pre‑registration, authorization and financial clearance needs for Practice and Hospital Services. Assuring staff are executing actions necessary to timely scheduling and authorization/financial clearing meet our patients and provider expectations. Significant attention to daily metrics related to call center management; ensuring necessary staffing and process modifications are made to ensure key performance indicators for pre‑service revenue cycle best practice are met. Key Responsibilities Manage a high‑functioning team, promoting a strong team and patient‑centered approach for recruitment and retention. Experience 5–7years supervisor experience in Hospital, Practice or Patient Billing specific to appointment and service scheduling. Revenue Cycle Operation experience including healthcare call center experience with demonstrated patient‑centered approach to best practice appointment scheduling process. Skills, Knowledge & Abilities Demonstrated success in the development of a patient‑centered environment; promoting and instilling all actions are to promote the optimal patient experience. Revenue Cycle Management including direct experience with denial prevention, third‑party payer contractual agreements and Practice and Hospital Billing Regulations; review billing edits for long‑term approach for resolution at time of scheduling. Demonstrate critical thinking and ability for successful service recovery. Excellent attention to detail and ensuring all procedures are followed for best practice pre‑service (revenue cycle) processes. Strong analytical skill to identify process fail points and improvement measurement implementation. Ability to think on your feet with solution to immediate patient complaints; focus of service recovery. Ability to lead, motivate and inspire team to achieve excellence in best practice revenue cycle principles. Understand system integration and optimizing system functionality for efficiency in workflow. Ability to create daily, weekly, monthly dashboards for ease of identifying revenue cycle vulnerabilities; create cash targets for point of service collection. Multi‑tasking in a high stress environment with ability to meet mission‑critical expectations. Education Bachelor’s Degree, required. Licensure, Certification & Registration CHAM (or acquired within first 2years). Legal and Compliance 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 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. Equal Opportunity Employer Albany Med Health System is an equal opportunity employer. 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. #J-18808-Ljbffr