Department/Unit:
RegistrationWork Shift:
Day (United States of America)Salary Range:
$55,895.80 - $83,843.71The Application Specialist is responsible encounter correction, auditing and compliance of hospital billing as it pertains to the Patient Access Department. The Application Specialist must have critical thinking skill with aptitude for encounter error correction per Local, State and Federal billing guidelines. Auditing of Patient Access processes to ensure efficiency, accuracy and compliance as outlined in policy and procedure provides a check and balance of patient access functions.The Application Specialist must be able to review encounters from point of registration to payment or denial; identify issues to accurately correct encounter. Must be able to understand Hospital Based Clinic management to ensure compliance with regulatory requirements. Must be able to manage significant workload and assist where and as needed throughout Patient Access.
Education:
Associates DegreeSkills, knowledge, and abilities:
Proficient in EXCELProven analytical, trending and recommendation for improvement.Ability to multi-taskStrong understanding of information technology integrationStrong understanding of ADT system; encounter correctionAbility to learn in classroom setting; utilizing resourcesAbility to review information and draw appropriate conclusionGood judgement and ability to be resourceful to problem solve; escalate issues as neededTeam mindedThank 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.