Billing Specialist jobs at Northwell Health

The mission of The Tisch Cancer Institute is to accelerate the prevention and treatment of cancer, improving the lives of cancer patients and their families in our communities. As a leading National Cancer Institute-Designated Cancer Center, we leverage a multidisciplinary approach to research and treatment-with the goal of advancing clinical breakthroughs that transform patient care. The Manager of Billing Compliance has a broad understanding of billing compliance as it relates to Federal and State regulations concerning clinical documentation requirements, billing and reimbursement. Responsibilities include routine clinical documentation monitoring, reviews, education and training in Part A & Part B billing and reimbursement compliance. Ensures clinical documentation elements are satisfied for Federal and State regulations via focused and/or general monitoring, education and training related to the institutions Compliance Program. Responsible for assigned clinical departments in the Medical Center. Bachelors degree preferred. 5 years relevant experience, preferably with 3 years in a leadership capacity; knowledge of CPT/ICD-10 and current HCFA/Medicare regulations governing billing compliance. Current CPC/CPT certification. Performs monitoring activities on all assigned areas based on risk profiles of the department. Notifies department Chair/Divisional Chief/ Liaison Officer / Administrator of scheduled monitoring initiatives. Meets with Administrator or other appropriate staff to discuss specific processes and other information related to billing that is unique to the specialty. Develops all billing compliance program content for training purposes and ensures successful execution. Analyzes Utilization Billing Report of paid services for each service/physician and determines sample selection for review. Collaborates with Administrator or other appropriate personnel regarding refund process to third party payor(s) as appropriate. Maintains file of all monitoring data for each assigned area. Performs chart abstraction either retrospectively or concurrently. Meets with individual physicians to discuss analysis report and findings. Implements and administers web-based training system for organization-wide compliance training. Conducts regulatory research to support compliance training and education related to Federal, State and local laws and regulations, third party coding, billing and claims submission, financial arrangements with physicians, conflicts of interest and internal policies and procedures. Promotes compliance initiatives and awareness throughout the institution. Assists the VP and Compliance Department leadership team in identifying areas where training and education are needed, and develops appropriate materials and information to support the Compliance Program. Creates and maintains project schedules by developing project plans and specifications, estimating timelines, establishing deadlines, monitoring milestone completion and tracking all phases of the project lifecycle. Other duties as assigned by leadership.

The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures. S/he coordinates activities related to data entry of billing, and demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue Cycle Manager. *Please note that this is NOT a remote opportunity, and will be onsite. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding + Licensing: None but CPC strongly preferred (required in Oncology) Non-Bargaining Unit, R45 - Orthopaedics Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews physician coding and provides updates. + Provides comprehensive financial counseling to patients. Responsible for setting patient expectations, discussion of financial options, payment plans, one-time settlements and resolution of unpaid balances. + Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee schedules and for self-pay patients. + Processes Workers Compensation claims and addresses/resolves all discrepancies. + Conducts specialized negotiations with insurance companies. Brokers and negotiates with insurance carriers. Establishes a network of key representatives within the insurance pre-certification units to establish open lines of communication for future service negotiation. + Verifies insurance and registration data for scheduled office, outpatient, and inpatient procedures. Reviews encounter forms for accuracy. Responsible for obtaining pre-certifications for scheduled admissions. + Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials in IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on denied claims. + Directs and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures. + Researches unidentified or misdirected payments. + Works credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations. + Identifies and resolves credentialing issues for department physicians. + Maintains a thorough understanding of medical terminology through participation in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. + Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns. + Mentors less experienced billing staff and assists Billing Manager/Revenue Cycle Manager in staff training. + Other identified duties as assigned. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. **Equal Opportunity Employer** The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. **Compensation Statement** Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64526.72 - $87505.56 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. Requires a level of understanding that is obtained or acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft, Excel, etc. Ability to work independently with minimal supervision at a high level of productivity. Ability to examine scanned documents, such as operative reports to determine accuracy of coding. Ability to prioritize own work and proceed with minimum supervision. Ability to maintain strictest confidentiality according to HIPAA regulations. Ability to work effectively with others as well as physicians. Be able to perform effectively with various commercial and hospital computer applications. Maintains a working knowledge of CPT and ICD-9/10CM coding principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation. Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM, ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient, outpatient, Emergency, and ambulatory surgery for both E & M encounters and procedures. Utilizes the Correct Coding Initiative (CCI) edits for accurate assigning of code and make use of the Local Coverage Determinations for medical necessity. Identify any areas for improvement in documentation as related to compliance and billing. Query and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures that operative reports and other third party regulatory information are pertinent to coding requirements. Works with management and the billing vendor daily, on edit list and/or requests for additional information as to reduce denials and accounts receivable. Attends various classes, seminars or trainings to keeping current with CPC certification. Reviews, modifies and recommends changes to policies and procedures to improve coding. Performs other related duties as assigned.

The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures. S/he coordinates activities related to data entry of billing, and demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue Cycle Manager. *Please note that this is NOT a remote opportunity, and will be onsite. Associates Degree preferred 5 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding Licensing: None but CPC strongly preferred (required in Oncology) Non-Bargaining Unit, R45 - Orthopaedics Roosevelt - ISM, Icahn School of Medicine Performs specialized coding services for inpatient and outpatient medical office visits. Reviews physician coding and provides updates. Provides comprehensive financial counseling to patients. Responsible for setting patient expectations, discussion of financial options, payment plans, one-time settlements and resolution of unpaid balances. Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. Develop and manages fee schedules and for self-pay patients. Processes Workers Compensation claims and addresses/resolves all discrepancies. Conducts specialized negotiations with insurance companies. Brokers and negotiates with insurance carriers. Establishes a network of key representatives within the insurance pre-certification units to establish open lines of communication for future service negotiation. Verifies insurance and registration data for scheduled office, outpatient, and inpatient procedures. Reviews encounter forms for accuracy. Responsible for obtaining pre-certifications for scheduled admissions. Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials in IDX on a timely basis. Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on denied claims. Directs and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures. Researches unidentified or misdirected payments. Works credit balance report to ensure adherence to government regulations/guidelines. Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations. Identifies and resolves credentialing issues for department physicians. Maintains a thorough understanding of medical terminology through participation in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns. Mentors less experienced billing staff and assists Billing Manager/Revenue Cycle Manager in staff training. Other identified duties as assigned.

The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. Associates Degree or high school diploma/GED plus 3 years of relevant experience Certified coder required Experience in medical billing or health claims, with experience in EPIC & IDX billing systems in a health care or insurance environment preferred Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures. Extract CPT codes form operative reports and reconcile with the providers bill, to make sure the providers a coding optimally. Collaborate with other coders and provide education/feedback to the providers on optimal billing and coding for outpatient encounters, in-patient consults and procedures/surgeries. Provide orientation to the new providers about relevant billing and coding for neurosurgical encounters Run reports for missing charges and collaborate with providers/practices to ensure timely charge entry. May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely basis. Posts all payments in IDX using approved methodologies. May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff. Works TES, BAR and eCommerce edits for the division, department and physicians. Proficient in moderate to complex encounters and problematic accounts. Works daily Accounts Receivable accounts via online workfile and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters. Researches unidentified checks sent to other departments. Works credit balance report to ensure adherence to government regulations/guidelines. Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations. Identifies and resolves credentialing issues for department physicians. Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns. Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in training new staff. May approve EPIC work queue for outpatient encounters. Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions. May approve Patient Keeper work queue for inpatient encounters. May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments. May prepare TOS deposits in Sinai Central. Maintains working knowledge and currency in third party payor requirements.

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.

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.

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.

Maintains current knowledge of and ensures compliance with all regulatory standards of care. Develops quality improvement programs and instructs staff on same. Develops, implements and monitors preventive maintenance and equipment replacement programs. Job Responsibility + Leads the activities of assigned Patient Care team members by communicating and providing guidance toward achieving department objectives. Develops quality improvement programs and instructs staff on same. + Selects, develops, manages and evaluates direct reports; ensures performance appraisals are completed in a timely manner. + Keeps current on a variety of management and health care topics and is accountable for self-development. + Identifies, develops, implements and maintains cost effective methodologies for delivery of supplies and equipment in assigned areas of responsibility. + Participates as a member of the healthcare team and various interdisciplinary committees to improve patient care and meet patient needs. + Acts as a liaison to various departments to facilitate the delivery of patient care. + Promotes collegial relationships based on mutual respect and support. + Develops, implements and monitors preventive maintenance and equipment replacement programs. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification + Bachelor of Science in Nursing required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. + 4-6 years of relevant experience and 0-2 years of leadership / management experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $94,000-$150,000/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.

Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $46,220.72 - $64,709.01 Salary Range: $17.97 - $28.76 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.

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.

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.

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.

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.

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.

Department/Unit: Admitting Operations Work Shift: ED DIFF_NIGHT (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.

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.

Department/Unit: Admitting Operations Work Shift: Evening (United States of America) Salary Range: $40,495.10 - $52,643.64 The Patient Access Specialist is responsible for the capture of demographic and insurance information either by telephone or patient facing. Position is required to use eligibility application to invoke request to verify insurance eligibility, interpret response and capture appropriate health insurance information as it pertains to the service being rendered. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility from the patient based on eligibility response or estimate for services. 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.

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.