Patient Access Specialist

Department/Unit:
Patient Access

Work Shift:

Day (United States of America)

Salary Range: $40,495.10 - $52,643.64

The Patient Access Specialist is responsible for capturing demographic and insurance information either by telephone or in person, using eligibility applications to verify insurance, interpret responses, and record accurate details. The role requires understanding and applying contractual benefits to services rendered, conducting financial discussions with patients regarding payment responsibility, and collecting the appropriate financial obligation based on eligibility or estimates.

• Use eligibility applications to verify insurance, interpret responses, and capture correct information.
• Understand and apply contractual benefits to services rendered.
• Conduct financial discussions with patients regarding payment responsibility.
• Collect financial responsibility based on eligibility response or estimate for services.

• Education:
  
  Associates preferred.
• Licensure/Certification: CHAA (or acquired within 2 years of hire).
• Experience:
  
  3–5 years in a hospital or physician office setting; strong computer skills.
• Insurance knowledge of payer contract interpretation, including authorization requirements and setting of care.
• Strong customer service skills; ability to exceed expectations.
• Ability to multitask and handle high patient volume under tight time frames.
• Proficient with ADT system and encounter correction.
• Ability to learn in classroom setting and utilize resources.
• Remain composed under pressure.
• Review information and draw appropriate conclusions.
• Good judgment; resourceful problem solving; escalation as needed.
• Team‑oriented work ethic.
• Interpret patient insurance benefits and apply contractual obligations.
• Critical thinking regarding financial payment security.
• Discuss sensitive financial concepts with patients.

Albany Medical is an equal opportunity employer.

Thank you for your interest in Albany Medical Center!

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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.