Albany Med
Authorization Specialist I
1275 Broadway Albany, NY 12204
Sponsorship not specified$18k-$29kDetected 8 days ago
ComplianceCustomer SupportHIPAACritical Thinking
About the role
- This includes securing Referral and Authorization.
- Insurance Verification and Benefit interpretation to discern insurance guidelines are being adhered to.
Responsibilities
- Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties.
Requirements
- Must be able to manage pressure of very tight timeframes to execute task
- Ability to interact with patients and stakeholders for the successful financial clearance will be critical to be successful in the compliance of authorization and referral guidelines.
- Good judgement and ability to be resourceful to problem solve
- Associates Degree; Bachelor Degree preferred
Nice to have
- Associates Degree
- Bachelor Degree preferred
- Winning customer service personality with ability to engage patients, provider and provider staff as well as insurance company representatives via telephone with superior patient experience.
- 5 years' experience in Hospital or Physician office experience or call center environment, preferred
- Strong insurance knowledge specific to complex scheduling needs and authorization management
Skills
- Proven customer service skill with ability to exceed expectations
- Demonstrated knowledge payer authorization requirements
- Strong attention to detail
- Ability to multi-task in stressful and high patient volume unit
- Ability to learn in classroom, utilizing resources
- Ability to remain composure under pressure
- Ability to train and onboard colleague
- Ability to review information and draw appropriate conclusion
- Good judgement and ability to be resourceful to problem solve; escalate issues as needed
- Team minded worth ethic
- Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
- Critical thinking ability regarding issues with financially securing payment
Compensation
- $49,763.00 - $69,668.00
Benefits
- 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.
- The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to collect patient financial obligation pre-services.
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This listing is sourced directly from Albany Med's careers page and normalized into a canonical job model.