Patient Access Rep - Patient Registration Services
Billing specialist job at Arnot Health
MAIN FUNCTION: Responsible for the registration of all patients' accessing services at System with emphasis on patient access/satisfaction, insurance/demographic verification and accuracy, and point of service collection, while maintaining confidentiality, professionalism and ethics continuously.
DUTIES AND RESPONSIBILITIES:
1. Is responsible for accurate registration of all System patient's while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing.
2. Is responsible for distribution of patient related materials and obtaining patient or designee's signature on all necessary consents, permits, financial forms, as well as charity application, when applicable.
3. Is responsible for collection of patient owed cost sharing amounts (copays, deductibles, coinsurance, full costs {non-covered/self-pay}) in accordance with Service Standards as well as referring patient to financial assistance department, when applicable. End of day cash out procedure applies. Documentation of all collection of co-pays is mandatory.
4. Is responsible for order entry, including but not limited to Observation, Laboratory, Radiology, Therapy and/or Physicians services as applicable to assigned area. Proper reconciliation of appropriate ordered services may require contact with applicable department. Reconciliation is required to be conducted timely & accurately with zero lose in revenue to System.
5. Is responsible for acquiring precertification status on all applicable services, such as Same Day Surgery Accounts, Outpatient Radiology & Cardiology Tests, and/or Physician Services, or Pharmacy Services.
6. Coordinates with Nursing Services/Designee the efficient use of available beds, including inpatient, observation and skilled, while adhering to appropriate registration/order entry standards.
7. Coordinates centralized scheduling for System using applicable databases. Ensures proper department/physician has relative information and assists with maximizing schedule capacity.
8. Is responsible for utilizing insurance verification tools to accurately verify patients' insurance information and maintaining error rate in accordance with Service Standards.
9. In certain circumstances, Employee may function as the primary Switchboard Operator during shift. Responsibilities shall include but not be limited to, answer all incoming/inside telephone calls and direct public to appropriate areas, coordinate "codes", as applicable and maintain clergy file, when needed.
10. In certain circumstances, mail distribution, mail preparation, inventory, re-stocking and chart retrieval responsibilities may be required.
11. In order to provide the highest quality of care to our patients, individuals may be required to work beyond normal scheduled shifts and will be required to comply with the System's attendance policy.
12. Employee will assist in staff training of peers, colleagues and management, as applicable/requested.
13. Employee is required to comply with all then-current and future policies and procedures and report directly to the Supervisor, Patient Registration.
14. Employee is responsible for attending all mandatory educational, compliance and safety programs as required by position.
15. Employee understands and demonstrates the importance of satisfying the needs of the patient/customer by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience throughout the System.
16. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned.
Education:
High school diploma or equivalent.
Experience:
A minimum of six months prior healthcare, finance, collection or billing experience preferred. Experience with computer applications required. Medical terminology and coding experience beneficial.
EXPECTATIONS:
Setting daily goals (keeping a goal sheet).
Submit ideas/revisions if daily goals are not met.
Education and training are mandatory.
Accountability.
Requirements:
Good interpersonal skills; able to related well with a wide cross-section of professionals, patients and others in System. Must be polite, courteous and trustworthy in safeguarding confidential information.
Physical Demands:
Light physical activity. Emergency room environment (as applicable). Patient interaction with sitting, walking and computer usage required.
Exposure Category:
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment.
A.D.A Essential Functions
Case Management Representative
Saratoga Springs, NY jobs
#Case Management Representative # Salary Range: $37-$57 About Saratoga Hospital At Saratoga Hospital, we#ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach#creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. # About the Role The Case Management Representative will function as the patient navigator.#The Case Management Representative will work collaboratively with partners, providers, payers and community agencies to assess patient#s health-seeking behaviors, barriers to care, direct or coordinate local resources to reduce barriers, monitor and track and communicate clinical results, and ensure timeliness and completion of follow-up diagnostic and treatment services concerning cancers of breast, cervical or colorectal for women and men. # What You Bring AAS required.# BS preferred.# Three years or more experience in healthcare or related field.# Clinical nursing background (RN)#preferred.# Knowledge regarding health insurance health insurance programs and/or facilitated enrollment (i.e. Medicaid) a plus.# Basic mathematical skills required.# Solid working knowledge of Microsoft Office is required. Special Equipment, Skills or Other Requirements: Must be self-directed with the ability to adapt in a changing environment. Ability to work independently and function as a team player.# Ability to follow established guidelines regarding confidentiality.# Must have effective verbal, written and listening skills.# Must have an intermediate skill level with Microsoft Office # Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you#re passionate about healthcare and community service#even if you don#t meet every qualification listed#we#d still love to hear from you. How to Apply Click the #apply# button to submit your resume and complete our online application. Applications are reviewed on a rolling basis#apply today and discover what makes Saratoga Hospital a special place to grow your career.
Case Management Representative
Salary Range: $37-$57
About Saratoga Hospital
At Saratoga Hospital, we've built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach-creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.
About the Role
The Case Management Representative will function as the patient navigator. The Case Management Representative will work collaboratively with partners, providers, payers and community agencies to assess patient's health-seeking behaviors, barriers to care, direct or coordinate local resources to reduce barriers, monitor and track and communicate clinical results, and ensure timeliness and completion of follow-up diagnostic and treatment services concerning cancers of breast, cervical or colorectal for women and men.
What You Bring
AAS required. BS preferred. Three years or more experience in healthcare or related field. Clinical nursing background (RN) preferred. Knowledge regarding health insurance health insurance programs and/or facilitated enrollment (i.e. Medicaid) a plus. Basic mathematical skills required. Solid working knowledge of Microsoft Office is required.
Special Equipment, Skills or Other Requirements: Must be self-directed with the ability to adapt in a changing environment. Ability to work independently and function as a team player. Ability to follow established guidelines regarding confidentiality. Must have effective verbal, written and listening skills. Must have an intermediate skill level with Microsoft Office
Our Commitment
We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every qualification listed-we'd still love to hear from you.
How to Apply
Click the 'apply' button to submit your resume and complete our online application. Applications are reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your career.
Patient Billing Supervisor
Albany, NY jobs
Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $65,102.17 - $100,908.37 Salary Range: $28.99 - $46.39 The Supervisor is responsible for the day to day staff oversight and daily billing operations of the Billing Unit in the Hospital Patient Financial Services Department. This work unit is comprised of 25 ASA level staff. The Supervisor shall use independent judgment and discretion as it relates to executing all aspects of work within the unit. The Supervisor shall ensure the following tasks and areas are managed per policy on a daily basis
Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for claim denied erroneously Validate timely resolution of claim errors Validate timely and accurate refund processing Daily monitoring of staff productivity to ensure daily goals are met and accounts worked per policy Complete management of all PL time and KRONOS requirements Coordination of time usage amongst payor teams to ensure adequate workload coverage Promote team building and intervene to resolve disputes Strong oral and written communication skills Strong Soarian Financial skills Proficiency with Microsoft Office Applications Intermediate knowledge of medical terminology Ensure daily team compliance with Professional Image Standard Organization and prioritization of tasks Work daily to meet all departmental and institutional goals Conduct new hire orientation per policy
Essential Functions and Responsibilities
New Policy and Procedure development Continued Policy and Procedure review and modification Ensure that staff are trained on payor contracts Ensure claims are paid per contract terms Ensure that all contractual allowances are accurate and timely Preparation of staff and participation in all payor meetings Maintain proficiency and timely communication of all third party payor and federal and state government claim submission regulation Monthly review of chargemaster CPT, HCPCS and revenue coding Conduct timely and routine staff training and remediation Ensures staff meetings are held monthly with assistance from Manager Cooperates and works with Manager and other hospital supervisory and management personnel to resolve revenue cycle issues and process weaknesses to ensure timely and accurate claim submission Document best practices and recommend opportunities for continuous improvement Ensure that all Med Assets worklists are worked accurately and timely Monitor and remediation of the FIX worklist process Ensure that all month end processing is completed timely.
The Billing Unit Supervisor works independently and is self-directed. The Supervisor may seek guidance from the Billing Unit Managers when needed.
It is expected that the Supervisor initiates independent thought and actions consistent with departmental and institutional policies and procedures. Core functions of the unit and department are monitored by all levels of management. The expectation is that the Supervisor reports out and ensures management is aware of all variances and all proposed resolution plans.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPatient Billing Supervisor
Albany, NY jobs
Department/Unit:
Patient Billing Service
Work Shift:
Day (United States of America)
Salary Range:
$65,102.17 - $100,908.37Salary Range: $28.99 - $46.39 The Supervisor is responsible for the day to day staff oversight and daily billing operations of the Billing Unit in the Hospital Patient Financial Services Department. This work unit is comprised of 25 ASA level staff. The Supervisor shall use independent judgment and discretion as it relates to executing all aspects of work within the unit. The Supervisor shall ensure the following tasks and areas are managed per policy on a daily basis
Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for claim denied erroneously Validate timely resolution of claim errors Validate timely and accurate refund processing Daily monitoring of staff productivity to ensure daily goals are met and accounts worked per policy Complete management of all PL time and KRONOS requirements Coordination of time usage amongst payor teams to ensure adequate workload coverage Promote team building and intervene to resolve disputes Strong oral and written communication skills Strong Soarian Financial skills Proficiency with Microsoft Office Applications Intermediate knowledge of medical terminology Ensure daily team compliance with Professional Image Standard Organization and prioritization of tasks Work daily to meet all departmental and institutional goals Conduct new hire orientation per policy
Essential Functions and Responsibilities
New Policy and Procedure development Continued Policy and Procedure review and modification Ensure that staff are trained on payor contracts Ensure claims are paid per contract terms Ensure that all contractual allowances are accurate and timely Preparation of staff and participation in all payor meetings Maintain proficiency and timely communication of all third party payor and federal and state government claim submission regulation Monthly review of chargemaster CPT, HCPCS and revenue coding Conduct timely and routine staff training and remediation Ensures staff meetings are held monthly with assistance from Manager Cooperates and works with Manager and other hospital supervisory and management personnel to resolve revenue cycle issues and process weaknesses to ensure timely and accurate claim submission Document best practices and recommend opportunities for continuous improvement Ensure that all Med Assets worklists are worked accurately and timely Monitor and remediation of the FIX worklist process Ensure that all month end processing is completed timely.
The Billing Unit Supervisor works independently and is self-directed. The Supervisor may seek guidance from the Billing Unit Managers when needed.
It is expected that the Supervisor initiates independent thought and actions consistent with departmental and institutional policies and procedures. Core functions of the unit and department are monitored by all levels of management. The expectation is that the Supervisor reports out and ensures management is aware of all variances and all proposed resolution plans.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPatient Nutrition Representative
Saratoga Springs, NY jobs
#Patient Nutrition Representative #Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 #Employment Type:#Full Time#Availability #Shift/Schedule:#Varied shifts with rotating weekends and holidays #Department: Food # Nutritional Services #Salary Range:#$17.38#- $25.12#hourly, based on experience and qualifications #About Saratoga Hospital At#Saratoga Hospital, we#ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach#creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. #About the Role We#re looking for a dedicated Patient Nutrition Representative#to join our team and help us conduct#face-to-face patient meal preference interviews,#verify#diet order based on#individualization of patient information and preferences,#process#menu and tray tickets,#distribute#production sheets and compile daily record-keeping forms. #You Could Be In One of a Few Areas Works effectively as part of the Ambassador team to provide quality meal options within their special dietary consideration guidelines. Serves as department liaison, is the last person to check for tray accuracy prior to meal service; uses Diet Order Sheet to verify diet and status (NPO); consults with nursing when discrepancies are indicated. Monitors floor stock per PAR levels established on units assigned; fills orders, logs refrigerator temperatures and maintains sanitary conditions of refrigerators and freezers; discards outdated and unauthorized items. Processes patient diet changes and menu selections accurately, courteously and efficiently during interview. Assists patients with meal selections; adhering to dietary restrictions and communicating appropriate alternatives when unable to meet patient needs with standard menu. Accurately and courteously delivers and prepares meals/snacks using patient identifiers, ensures#that the correct temperatures are maintained throughout process. Identifies and reports patients that do not consume between-meal snacks and/or oral supplements #What You Bring High School diploma or GED preferred. Formal training/education and previous work experience with diets, preferred. Previous Customer Service experience/training in a high-stress atmosphere preferred. Understanding of kitchen jobs essential, training on pertinent kitchen positions required. #Why Saratoga Hospital A caring, community-focused culture rooted in teamwork and trust Supportive leadership that invests in your development and well-being Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs.#Click here to view our complete benefits guide. Opportunities to grow within the Albany Med Health System Located in#beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions #Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you#re passionate about healthcare and community service#even if you don#t meet every qualification listed#we#d still love to hear from you. #How to Apply Click the #apply# button to submit your resume and complete our online application. Applications are reviewed on a rolling basis#apply today and discover what makes Saratoga Hospital a special place to grow your career.
Patient Nutrition Representative
Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866
Employment Type: Full Time Availability
Shift/Schedule: Varied shifts with rotating weekends and holidays
Department: Food & Nutritional Services
Salary Range: $17.38 - $25.12 hourly, based on experience and qualifications
About Saratoga Hospital
At Saratoga Hospital, we've built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach-creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.
About the Role
We're looking for a dedicated Patient Nutrition Representative to join our team and help us conduct face-to-face patient meal preference interviews, verify diet order based on individualization of patient information and preferences, process menu and tray tickets, distribute production sheets and compile daily record-keeping forms.
You Could Be In One of a Few Areas
* Works effectively as part of the Ambassador team to provide quality meal options within their special dietary consideration guidelines.
* Serves as department liaison, is the last person to check for tray accuracy prior to meal service; uses Diet Order Sheet to verify diet and status (NPO); consults with nursing when discrepancies are indicated.
* Monitors floor stock per PAR levels established on units assigned; fills orders, logs refrigerator temperatures and maintains sanitary conditions of refrigerators and freezers; discards outdated and unauthorized items.
* Processes patient diet changes and menu selections accurately, courteously and efficiently during interview. Assists patients with meal selections; adhering to dietary restrictions and communicating appropriate alternatives when unable to meet patient needs with standard menu.
* Accurately and courteously delivers and prepares meals/snacks using patient identifiers, ensures that the correct temperatures are maintained throughout process.
* Identifies and reports patients that do not consume between-meal snacks and/or oral supplements
What You Bring
* High School diploma or GED preferred. Formal training/education and previous work experience with diets, preferred. Previous Customer Service experience/training in a high-stress atmosphere preferred. Understanding of kitchen jobs essential, training on pertinent kitchen positions required.
Why Saratoga Hospital
* A caring, community-focused culture rooted in teamwork and trust
* Supportive leadership that invests in your development and well-being
* Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide.
* Opportunities to grow within the Albany Med Health System
* Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions
Our Commitment
We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every qualification listed-we'd still love to hear from you.
How to Apply
Click the 'apply' button to submit your resume and complete our online application. Applications are reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your career.
ASA VI - Medical Billing
Hudson, NY jobs
Department/Unit:
Physicians Billing
Work Shift:
Day (United States of America)
Salary Range:
$38,937.60 - $50,618.88This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med by completing appeals, phone calls, and account review.
Qualifications:
High school diploma or GED is required. AAS degree is preferred.
Customer service experience required
Experience providing phone-based customer service a plus
Proficiency in office software including Excel and Word
Proficiency utilizing payer websites
Ability to work in a team environment
Ability to communicate effectively, both verbally and in writing
Ability to Multi-task and handle a fast-paced work environment
Demonstrate organizational and interpersonal skills
Essential Duties and Responsibilities:
Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies
Validate and Correct registration and insurance information, notations, correct claim submission
Researches and interprets information to efficiently reconcile accounts
Review and understand payer policy guidelines regarding billing
Follow internal policies and procedures for accurate account review
Meet expected production and quality standards
Other related duties as assigned
Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, days 8:00 am-4:30 pm.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAccess Representative I
Glens Falls, NY jobs
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Access Service Representative I 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 collection of financial responsibility from the patient based on eligibility response or estimate for services.
Essential Duties and Responsibilities
Responsible for accurate patient look up to ensure correct patient is being registered.
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 pertains to a hospital registration.
Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow.
Functional Competencies
Social and Emotional Intelligence
Ability to deal with a diverse population including critically injured, mentally disturbed and belligerent
Patient centric - customer service
Conflict Management
Team-oriented support
Adaptable to high-stress situation
Excellent communication skill
Qualifications
High School Diploma/G.E.D. - required
1-3 years applicable experience; customer service and strong computer skill - required
Hospital or Clinic setting office experience - preferred
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit
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; escalate issues as needed
Team minded worth ethic
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Constantly
Thank you for your interest in Albany Medical Center!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAccess Representative I
Saratoga Springs, NY jobs
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Access Service Representative I 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 collection of financial responsibility from the patient based on eligibility response or estimate for services.
Essential Duties and Responsibilities
Responsible for accurate patient look up to ensure correct patient is being registered.
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 pertains to a hospital registration.
Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow.
Functional Competencies
Social and Emotional Intelligence
Ability to deal with a diverse population including critically injured, mentally disturbed and belligerent
Patient centric - customer service
Conflict Management
Team-oriented support
Adaptable to high-stress situation
Excellent communication skill
Qualifications
High School Diploma/G.E.D. - required
1-3 years applicable experience; customer service and strong computer skill - required
Hospital or Clinic setting office experience - preferred
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit
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; escalate issues as needed
Team minded worth ethic
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Constantly
Thank you for your interest in Albany Medical Center!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyASA VI - Medical Billing
Albany, NY jobs
Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med by completing appeals, phone calls, and account review.
Qualifications:
* High school diploma or GED is required. AAS degree is preferred.
* Customer service experience required
* Experience providing phone-based customer service a plus
* Proficiency in office software including Excel and Word
* Proficiency utilizing payer websites
* Ability to work in a team environment
* Ability to communicate effectively, both verbally and in writing
* Ability to Multi-task and handle a fast-paced work environment
* Demonstrate organizational and interpersonal skills
Essential Duties and Responsibilities:
* Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies
* Validate and Correct registration and insurance information, notations, correct claim submission
* Researches and interprets information to efficiently reconcile accounts
* Review and understand payer policy guidelines regarding billing
* Follow internal policies and procedures for accurate account review
* Meet expected production and quality standards
* Other related duties as assigned
Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, days 8:00 am-4:30 pm.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAccess Specialist I - ED
Hudson, NY jobs
Department/Unit:
Admitting Operations
Work Shift:
ED DIFF_NIGHT (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Emergency Department Access Specialist I is a position that must be able to deal in a 'pressure cooker' environment. The EDAS I, is a hybrid position combining the Access Representative position and the Health Unit Coordinator position. The position includes but is not limited to rotating positions as needed ~ being trained and expected to rotate assignments in multiple disciplines within the Emergency Departments. The disciplines include:
• Triage of walk-in patients - encompasses a quick data collection and entering in ADT System; placing of patient wristband for patient safety; acquiring a regulatory signature on the HIXNY Consent. Additionally, if patient is seen by a provider complete a full registration including General Consent and collection of financial responsibility
The Triage role is required to accurately identify patient in the ADT system to ensure correct patient is selected. This is many times problematic; patient does not have identification.
• ED Zone Support - includes answering of multi-line (10) telephone and managing all inquiries, transferring of telephone calls; discharging of patients via the patient medical record; verifying all laboratory specimens placed in a hazardous bag for accurate labeling by nurse or provider.
• Bedside Registration - Collection of demographic information, insurance, regulatory consent forms and collection of financial responsibility at patient's bedside
• EMS Desk - shadow answer EMS Radio (Ambulance Agency calls from the field) and provides a brief description of patient age, complaint, Vital Signs, ambulance agency capture.
The EMS Desk role is responsible for the accurate identification of the patient with quite often no identification, EMS inaccuracy of capture of information and management of UNKNOWN Patient policy and procedure.
Essential Duties and Responsibilities
Responsible for the accurate patient identification in a highly stressful situation; this responsibility is a Patient Safety measure.
Bedside registration including the need to work from a WOW; collecting patient demographic information; insurance information and obtain signatures for regulatory forms via Document Management/electronic signature; the collection includes Medicare patients collecting the regulatory mandate of the MSPQ information
Responsible for identifying and verifying insurance at bedside; obtaining additional information if No Fault or Worker's Compensation for MVA patients and employee's hurt at work.
Ensure Access' expectations of key clinical measures are executed and timeframes met ie: Chest pain - Door to EKG notification.
Ability to review, assess and assign the appropriate health insurance plan and collect copayment, if applicable at bedside.
Ability to interact effectively with external agency personnel: EMS Agencies, Law Enforcement Agencies and Correction Facilities.
Capture of patient's pharmacy in support of expediate discharge by nurse and physician
Answering multi-line telephone and managing all calls in calm, courteous, respectful manner
Capture brief information via Ambulance Radio including patient description, age, chief complaint and Vital Signs
Managing the ED Patient Tracker and completing the Access Specialists tasks as identified
Laboratory specimen verification and assurance of timely send to laboratory
Responsible to manage daily workflow during scheduled and unscheduled SYSTEM downtimes - following downtime procedures. Responsible for downtime flow in the ED during system downtimes.
Ensure EMTALA Regulations are maintained.
Functional Competencies
Social and Emotional Intelligence
Ability to deal with a diverse population including critically injured, mentally disturbed and belligerent
Patient centric - customer service
Conflict Management
Team-oriented support
Adaptable to high-stress situation
Excellent communication skill
Qualifications
High School Diploma/G.E.D. - required
Associate's Degree - preferred
1-3 years in customer service experience, or a hospital or clinic setting - preferred
Ability to keep composure in a high-stress environment.
Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of high intensity situations
Good judgement and ability to be resourceful to problem solve; escalate issues as needed
Ability to manage contained blood, urine and other bodily fluids
Ability to handle a multi-line telephone system; paging required
Ability to push 35- 50 lb WOW
Must be able to stand for long periods of time. (Sneakers are permitted)
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Constantly
Walking - Constantly
Sitting - Constantly
Lifting - Rarely
Carrying - Rarely
Pushing - Constantly (35-50lbs)
Pulling - Constantly (35-50lbs)
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Frequently
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!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAuthorization Specialist I
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$46,220.72 - $64,709.01The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for financially securing Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization. Insurance Verification and Benefit interpretation to discern insurance guidelines are being adhered to. 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. Position requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. Position is required to use eligibility application and authorization portals 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 collect patient financial obligation pre-services.
Education:
Associates Degree; Bachelor Degree preferred
Licensure, Certification & Registration:
CHAA (or acquired within 2 years of hire)
Experience:
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.
3 - 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, Knowledge & Abilities:
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
Must be able to manage pressure of very tight timeframes to execute task
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
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAuthorization Specialist I
Albany, NY jobs
Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $46,220.72 - $64,709.01 The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for financially securing Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization. Insurance Verification and Benefit interpretation to discern insurance guidelines are being adhered to. 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. Position requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. Position is required to use eligibility application and authorization portals 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 collect patient financial obligation pre-services.
Education:
* Associates Degree; Bachelor Degree preferred
Licensure, Certification & Registration:
* CHAA (or acquired within 2 years of hire)
Experience:
* 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.
* 3 - 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, Knowledge & Abilities:
* 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
* Must be able to manage pressure of very tight timeframes to execute task
* 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
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyStandardized Patient
New Scotland, NY jobs
Department/Unit:
Patient Simulation Center
Work Shift:
Day (United States of America)
Salary Range:
$0.00 - $0.00The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred.
The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyStandardized Patient
Albany, NY jobs
Department/Unit: Patient Simulation Center Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred.
The standardized participant must be able to independently, consistently and accurately portray clinical situations. Roles may include patient, family member or health care worker. Portrayals may be specific emotions, behaviors, disease symptoms or physical exam findings. The standardized participant will interact with students in the health care field during simulated encounters designed to enable experiential learning and/or assessment of students' skills. The standardized participant may be asked to assess student behaviors using validated measurement tools and provide verbal as well as written feedback. In addition, the standardized participant will be involved in group training and/or mentorship of entry-level standardized participants. The standardized participant work will be varied. It is part-time, as needed. High school education is required and college preferred.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPatient Access Specialist - Emergency Department
New Scotland, NY jobs
Department/Unit:
Admitting Operations
Work Shift:
Evening (United States of America)
Salary Range:
$40,495.10 - $52,643.64The 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.Minimum Qualifications
• HS Diploma, Associates Preferred
• CHAA (or acquired within 2 years of hire)
• Strong computer skills
• 3 - 5 years experience
• Hospital or Physician office experience preferred
• Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care
• Proven customer service skill with ability to exceed expectations
• Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
• 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; 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
• Ability to discuss sensitive concepts with patients regarding financial obligations
Excellent working knowledge of computer based applications with strong PC/keyboard skills. Demonstrated organizational skills with excellent interpersonal and communication ability. Must be able to push workstation on wheels (WOW) for extended period of time
Preferred Qualifications
3 years front line registration and training experience.
Demonstrated expert knowledge of internal/external registration and billing systems.
Excellent decision making skills with analytical ability and strong attention to detail.
Ability to build confidence, raise skill level and promote a productive work environment
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPatient Access Spec
New Scotland, NY jobs
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The 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.
For Access Center and Birthplace:
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.
Apheresis and Infusion:
This team is responsible for securing financial payment for our patients requiring chemotherapy, Apheresis and other High Cost Drug Infusions. The critical nature of securing payment can't be understated given the cost of the specialty drugs being offered at Albany Medical Center. Understanding diagnosis, the prescribed drugs and authorization requirements is a significant aspect of this position. In addition, Allscripts Patient Management is integral to their workflow between SOARIAN Financials and APM.
Essential Duties and Responsibilities
Responsible for creating encounters in ADT representing service patient is receiving
Responsible to discern demographic and insurance information to ensure and accurate registration
Responsible to interpret information received from Insurance Payer regarding patient's eligibility and financial responsibility
Responsible to discuss financial obligation of patient and collect via cash, credit card or check
Responsible to explain 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 pertains to a hospital registration.
Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow.
Responsible for review of services being rendered to ensure the appropriate setting of care has been assigned by the physician's office; if not, physician staff will be advised of the contractual or regulatory expectation warranting a change of setting of care. For example: Inpatient to Outpatient or Inpatient Only requirement
Ability to respond to requests for estimates for service being rendered or expected to be rendered
Contact patient if issues or data missing impeding ability to financially secure encounter.
Responsible for securing encounters with extremely tight timeframes due to late booking of service
Access Center/Birthplace ONLY:Responsible for the timely and accurately completed death certificate
Access Center/Birthplace ONLY: Work in conjunction with Nursing Leadership for the appropriate bed placement for patients in the Emergency Department, Recovery Room, Cardiac Catheterization Lab, Direct Admits from Home, Transfers from other facilities
Access Center/Birthplace ONLY: Multi-task of real time needs for bed placement and monitoring discharges and new reservation bed needs
Apheresis and Infusion team ONLY: Responsible for securing payment for High Cost Apheresis and Infusion therapies; applying dosing, frequency of service is a critical component of financially securing service.
Qualifications
High School Diploma/G.E.D. - required
Associate's Degree - preferred
3 - 5 years experience in a hospital or physician office - required
Computer skills (High proficiency)
Insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care (High proficiency)
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
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; 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
Ability to discuss sensitive concepts with patients regarding financial obligations
CHAA - Certified Healthcare Access Associate upon hire or acquired within 2 years of hire within 1-1/2 Yrs - required
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!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAccess Representative I
Albany, NY jobs
Department/Unit: Patient Access Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 The Access Service Representative I 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 collection of financial responsibility from the patient based on eligibility response or estimate for services.
Essential Duties and Responsibilities
* Responsible for accurate patient look up to ensure correct patient is being registered.
* 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 pertains to a hospital registration.
* Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow.
Functional Competencies
* Social and Emotional Intelligence
* Ability to deal with a diverse population including critically injured, mentally disturbed and belligerent
* Patient centric - customer service
* Conflict Management
* Team-oriented support
* Adaptable to high-stress situation
* Excellent communication skill
Qualifications
* High School Diploma/G.E.D. - required
* 1-3 years applicable experience; customer service and strong computer skill - required
* Hospital or Clinic setting office experience - preferred
* Proven customer service skill with ability to exceed expectations
* Ability to multi-task in stressful and high patient volume unit
* 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; escalate issues as needed
* Team minded worth ethic
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Talking - Constantly
* Hearing - Constantly
* Repetitive Motions - Constantly
Thank you for your interest in Albany Medical Center!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyAccess Specialist- ED Per Diem
Albany, NY jobs
Department/Unit: Admitting Operations Work Shift: Per Diem (United States of America) Salary Range: $40,495.10 - $52,643.64 The Emergency Department Access Specialist I is a position that must be able to deal in a 'pressure cooker' environment. The EDAS I, is a hybrid position combining the Access Representative position and the Health Unit Coordinator position. The position includes but is not limited to rotating positions as needed ~ being trained and expected to rotate assignments in multiple disciplines within the Emergency Departments. The disciplines include:
* Triage of walk-in patients - encompasses a quick data collection and entering in ADT System; placing of patient wristband for patient safety; acquiring a regulatory signature on the HIXNY Consent. Additionally, if patient is seen by a provider complete a full registration including General Consent and collection of financial responsibility
The Triage role is required to accurately identify patient in the ADT system to ensure correct patient is selected. This is many times problematic; patient does not have identification.
* ED Zone Support - includes answering of multi-line (10) telephone and managing all inquiries, transferring of telephone calls; discharging of patients via the patient medical record; verifying all laboratory specimens placed in a hazardous bag for accurate labeling by nurse or provider.
* Bedside Registration - Collection of demographic information, insurance, regulatory consent forms and collection of financial responsibility at patient's bedside
* EMS Desk - shadow answer EMS Radio (Ambulance Agency calls from the field) and provides a brief description of patient age, complaint, Vital Signs, ambulance agency capture.
The EMS Desk role is responsible for the accurate identification of the patient with quite often no identification, EMS inaccuracy of capture of information and management of UNKNOWN Patient policy and procedure.
Essential Duties and Responsibilities
* Responsible for the accurate patient identification in a highly stressful situation; this responsibility is a Patient Safety measure.
* Bedside registration including the need to work from a WOW; collecting patient demographic information; insurance information and obtain signatures for regulatory forms via Document Management/electronic signature; the collection includes Medicare patients collecting the regulatory mandate of the MSPQ information
* Responsible for identifying and verifying insurance at bedside; obtaining additional information if No Fault or Worker's Compensation for MVA patients and employee's hurt at work.
* Ensure Access' expectations of key clinical measures are executed and timeframes met ie: Chest pain - Door to EKG notification.
* Ability to review, assess and assign the appropriate health insurance plan and collect copayment, if applicable at bedside.
* Ability to interact effectively with external agency personnel: EMS Agencies, Law Enforcement Agencies and Correction Facilities.
* Capture of patient's pharmacy in support of expediate discharge by nurse and physician
* Answering multi-line telephone and managing all calls in calm, courteous, respectful manner
* Capture brief information via Ambulance Radio including patient description, age, chief complaint and Vital Signs
* Managing the ED Patient Tracker and completing the Access Specialists tasks as identified
* Laboratory specimen verification and assurance of timely send to laboratory
* Responsible to manage daily workflow during scheduled and unscheduled SYSTEM downtimes - following downtime procedures. Responsible for downtime flow in the ED during system downtimes.
* Ensure EMTALA Regulations are maintained.
* Functional Competencies
* Social and Emotional Intelligence
* Ability to deal with a diverse population including critically injured, mentally disturbed and belligerent
* Patient centric - customer service
* Conflict Management
* Team-oriented support
* Adaptable to high-stress situation
* Excellent communication skill
Qualifications
* High School Diploma/G.E.D. - required
* Associate's Degree - preferred
* 1-3 years in customer service experience, or a hospital or clinic setting - preferred
* Ability to keep composure in a high-stress environment.
* Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of high intensity situations
* Good judgement and ability to be resourceful to problem solve; escalate issues as needed
* Ability to manage contained blood, urine and other bodily fluids
* Ability to handle a multi-line telephone system; paging required
* Ability to push 35- 50 lb WOW
* Must be able to stand for long periods of time. (Sneakers are permitted)
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Constantly
* Walking - Constantly
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Constantly (35-50lbs)
* Pulling - Constantly (35-50lbs)
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Frequently
* 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!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPatient Flow Specialist - 24hrs/week, NIGHTS
New Scotland, NY jobs
Department/Unit:
Capacity Command Logistic Center
Work Shift:
Night (United States of America)
Salary Range:
$86,650.99 - $134,309.04The Logistics Center Patient Flow Specialist is an integral component of the Logistics Center, as they help to manage all aspects of patient flow into, throughout and out of the hospital. The Patient Flow Specialist brings their clinical expertise, leadership experience, professionalism, strong communication skills, ability to utilize and leverage technology and data analytics to make real-time expeditious decisions on patient flow, including but not limited to placement of admissions via all portals of entry, transfers, bed management, and overall throughput.
Essential Duties and Responsibilities
Reports up through the Logistics Center.
Manages patient flow into, through, and out of the hospital.
Responsible for patient placement for all admissions through all portals of entry (transfers, ED, OR/PACU, direct).
Responsible for overall bed management.
Monitors and manages capacity.
Facilitates transfers into and across the Albany Med Health System. Facilitates transfers out of the organization.
Facilitates consults.
Uses previous clinical experience and expertise, along with leverage data analytics and technology to make real-time assessments and patient flow decisions expeditiously.
Utilizes strong communication, professionalism and leadership skills to drive access, capacity, efficiency, high quality and safe care for patients.
Manages and mitigates patient flow barriers even prior to them occuring.
Escalates barriers unable to manage/mitigate via chain of command within Logistics Center timely.
Comfortable navigating, entering information into, and extracting information from electronic medical record and technology tools within the Logistics Center.
Qualifications
Associate's Degree - required
Bachelor's Degree - preferred
10+ years Clinical Experience - required
Leadership Experience - preferred
Clinical expertise (High proficiency)
Communication, professionalism, and Leadership skills (High proficiency)
Ability to problem-solve as it relates to patient flow, Bed Management, Capacity Management, Transfer Coordination (High proficiency)
Ability to work within and with large teams (High proficiency)
Utilization and data entry into EMR and technology (High proficiency)
Ability to interpret real-time data to drive decision-making (High proficiency)
RN/MD/DO/MBBS/Paramedic/Case Management/Social Work Prior or Current license/certification - required
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Frequently
Lifting - Rarely
Carrying - Rarely
Pushing - Rarely
Pulling - Rarely
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Reaching - Rarely
Handling - Rarely
Grasping - Rarely
Feeling - Rarely
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Occasionally
Eye/Hand/Foot Coordination - Rarely
Working Conditions
Noise - Occasionally
Thank you for your interest in Albany Medical Center!
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.
Thank you for your interest in Albany Medical Center!
Albany Medical 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 Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
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Billing specialist job at Arnot Health
Arnot Health is seeking an experienced and highly organized Medical Office Coordinator to oversee daily operations across our Corning, NY Pain Medicine and Sleep Management office. This role plays a key part in ensuring efficient office management, smooth provider scheduling, exceptional patient service, and effective communication between departments. The ideal candidate is a strong communicator, problem solver, and team leader with proven experience in a healthcare setting.
Key Responsibilities
Supervision & Staff Coordination
* Assign and coordinate daily staff duties and prepare work schedules
* Assist the Director of Operations with supervision, performance evaluations, and disciplinary documentation
* Participate in hiring decisions and training of new staff
* Identify and help resolve operational issues involving physicians, patients, and staff
Operations Management
* Manage provider schedules, patient appointments, meetings, and special programs
* Communicate scheduling updates to staff, providers, hospitals, and other agencies
* Ensure proper chart preparation, information gathering, and documentation for patient visits
* Screen incoming calls and route medical inquiries to the appropriate provider or nurse
Patient Support
* Schedule follow-up visits, consultations, testing, and hospital admissions
* Obtain pre-certifications for medical procedures and follow up on outstanding requests
* Maintain timely receipt and review of consultation reports and test results
* Assist providers with patient preparation, vitals, and ancillary testing as needed
Billing & Accounts
* Verify and update patient demographic and insurance information
* Prepare encounter forms and billing documentation for all billable services
* Manage daily cash controls, deposits, and overdue payment follow-ups
Administrative Duties
* Maintain organized filing systems for practice and personnel documents
* Process mail, supply requests, and expense reimbursements
* Support physicians, nurses, and administrative leadership with other practice-related functions
Qualifications
* High school diploma or equivalent required; coursework or experience in accounting or bookkeeping preferred
* Minimum of three years' office experience, preferably in a medical or hospital setting
* Demonstrated supervisory and personnel management skills
* Strong organizational, communication, and problem-solving abilities
* Knowledge of medical office operations and patient service best practices