Access Representative I - Saratoga Hospital

Albany Medical Center; City of Saratoga Springs (NY); On-site; USD 40,495 - 52,644; Full time

Job summary

A regional healthcare provider in Saratoga Springs seeks a Patient Access Representative I responsible for capturing demographic and insurance information. The role includes verifying insurance eligibility, collecting patient payments, and engaging with patients to explain forms. Candidates must have a high school diploma, 1-3 years of relevant experience, and exceptional customer service skills. Strong communication and conflict management abilities are essential to thrive in this fast-paced environment.

Qualifications

• 1-3 years applicable experience; customer service and strong computer skill required.
• Hospital or Clinic setting office experience preferred.
• Ability to remain composed under pressure and multi-task in a high patient volume unit.

Responsibilities

• Responsible for accurate patient look up to ensure correct patient registration.
• Interpret information from Insurance Payer regarding patient’s eligibility.
• Discuss financial obligations with patients and collect payments.

Skills

Customer service

Excellent communication skill

Conflict Management

Social and Emotional Intelligence

Education

High School Diploma/G.E.D.

Job description

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; elevate 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

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.