What are the responsibilities and job description for the INSURANCE AND AUTHORIZATION MANAGER, ACCESS SERVICES- PATIENT ENGAGEMENT CENTER position at Albany Medical Center?
Department / Unit :
Patient Engagement Center
Work Shift :
Day (United States of America)
Salary Range :
65,102.17 - $100,908.37
The position is responsible for the daily operations of the Pre-Service functions of the Patient Engagement Center Insurance and Authorization complement– related to eligibility verification, pre-registration, authorization and financial clearance needs for Practice and Hospital Services. Assuring staff are executing actions necessary to timely scheduling and authorization / financial clearing meet our patients and provider expectations. Significant attention to daily metrics related to call center management; ensuring necessary staffing and process modifications are made to ensure key performance indicators for pre-service revenue cycle best practice are met. Management of a high-functioning team, promoting a strong team and patient centered approach for recruitment and retention
Experience :
5 - 7 years supervisor experience Hospital, Practice or Patient Billing specific to appointment and service scheduling
Revenue Cycle Operation experience including healthcare call center experience with demonstrated patient-centered approach to best practice appointment scheduling process.
Skills, Knowledge & Abilities :
Demonstrated success in the development of a patient-centered environment; promoting and instilling all actions are to promote the optimal patient experience.
Revenue Cycle Management to include direct experience with denial prevention including but not limited to third party payer contractual agreements and Practice and Hospital Billing Regulations; review billing edits for long term approach for resolution at time of scheduling
Demonstrate critical thinking and ability for successful service recovery
Excellent attention to detail and ensuring all procedures are followed for best practice pre-service (revenue cycle) processes; with strong analytical skill to identify process fail points and improvement measurement implementation.
Ability to think on your feet with solution to immediate patient complaints; focus of service recovery
Ability to lead, motivate and inspire team to achieve excellence in best practice revenue cycle principles
Understand system integration and optimizing system functionality for efficiency in workflow
Ability to create daily, weekly, monthly dashboards for ease of identifying revenue cycle vulnerabilities; create cash targets for point of service collection
Multi-tasking in a high stress environment with ability to meet mission critical expectations
Education :
- Bachelor’s Degree, required.
Licensure, Certification & Registration :
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.
Salary : $65,102 - $100,908
