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$46k–$60k/yr
Full-time
high school
Posted 10d ago
~40 hrs/week
Responsibilities
The specialist is responsible for scheduling patient appointments, verifying insurance eligibility, and managing patient registration in a high-volume contact center. They also handle financial collections and ensure accurate documentation within the electronic health record system.
Requirements
Candidates must have a high school diploma or G.E.D. and 1-2 years of relevant experience. Strong customer service skills, the ability to multitask in a fast-paced environment, and knowledge of medical terminology and insurance are required.
Full job description
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$46,215.00 - $60,080.00The Pre-Service Specialist I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience assisting in scheduling services for our Hospital and Practice. This requires ability to work in a high-volume contact center and fast paced environment. Understanding complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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 collect patient financial obligation pre-services.
The Pre-Service Specialist I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-Service Specialist II as Career Ladder requirements indicate.
Essential Duties and Responsibilities
Responsible for scheduling appointments and services for assigned service line (POD) via the scheduling system following established scripting and protocols promoting physician satisfaction and scheduling efficiencies on behalf of our patients.
Ability to identify trigger words, symptoms and patient concerns, assuring calls are triaged to the respective Clinic Nursing team per protocol.
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
Ability to accurately interpret referral/physician order to meet the patient and/or provider need for scheduling of services correctly.
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 and practice pre-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
Obtains all insurance information from patient and verifies insurance to ensure active coverage for services being scheduling.
Provides thorough comments, where applicable for all conversations with patients or providers.
Qualifications
High School Diploma/G.E.D. - required
1 – 2 years Winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Medical Terminology and Insurance Knowledge - preferred
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, utilizing resources
Ability to maintain composure 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
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
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 Med Health System!
Albany Med Health System is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Related keywords
Patient Service SpecialistRadiologyContact CenterSchedulingInsurance EligibilityRegistrationMedical TerminologyElectronic Health RecordHIPAAPatient ExperienceFinancial ObligationTriageCustomer ServiceHealthcare AdministrationData Management
Albany Medical Center, northeastern New York’s only academic medical center, is one of the Capital Region’s largest private employers with more than 9,000 employees. Albany Medical Center provides the highest level of patient care across disciplines, while receiving regional, national, and international recognition for high standards in patient care, education, and biomedical research.
The 766-bed Albany Medical Center offers access to the latest medical services and technological innovations and includes one of the busiest emergency rooms and trauma centers in New York, a children’s hospital and dedicated pediatric emergency room, intensive care units for adults and children, and organ transplant services. Albany Medical College graduates more than 200 medical doctors each year, as well as PAs, CRNAs, biomedical scientists, and bioethicists. Albany Medical College operates a biomedical research enterprise and the region’s largest physician practice with more than 500 doctors.
Albany Medical Center, along with Albany Medical College, is a partner in the Albany Med Health System, the largest and only regionally governed, not-for-profit health system serving northeastern New York and western New England.
Offices: 43 New Scotland Avenue, Albany, NY 12208-3478, US
How many Healthcare jobs are open in Albany, NY right now?
There are currently 868 open healthcare positions in Albany, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Albany, NY?
Companies currently hiring include Albany Medical Center, St. Peter's Health Partners, Center for Disability Services, CVS Health, Northern Rivers Family of Services, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Albany, NY?
Yes — 49 of the 868 open healthcare positions offer remote or hybrid work (15 remote, 34 hybrid).
How do I apply for Healthcare jobs in Albany, NY?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.