Access Representative I

100 Albany Med Health System; United States; On-site; USD 46,215 - 60,080; Full time

Job summary

Albany Medical Center, part of the Albany Med Health System, is seeking an Access Service Representative I to capture demographic and insurance information via phone or in person. The role requires using eligibility applications to verify insurance and determine financial responsibility for services.

The position emphasizes accurate registration, effective communication, and compliance with HIPAA and state/federal regulations in a high-volume environment.

Qualifications

• High school diploma or GED; required.
• 1-3 years of customer service and strong computer skills.
• 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.

Responsibilities

• Accurate patient look up to ensure correct patient is being registered.
• Discern demographic and insurance information for accurate registration.
• Interpret payer eligibility responses and determine financial responsibility.
• Discuss financial obligation with patient and collect via cash, credit card or check.
• Explain regulatory forms and obtain signatures accordingly.
• Scan or manage online form template to maintain the Electronic Health Record.
• Comprehend Federal, State, Third Party Payer regulations regarding hospital registration.
• Work across multiple systems during a call or in-person to complete registration.

Skills

Social intelligence

Diversity awareness

Customer service

Conflict management

Team oriented

Stress tolerance

Communication skills

Education

High school diploma

Job description

Department/Unit: Patient Access Work Shift: Day (United States of America) Salary Range: $46,215.00 - $60,080.00 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; escape 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 - Occasionally
• 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 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.

Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including:

• Excellent health care coverage with no copay at Albany Medical Center providers
• A wide array of services and programs to support emotional, physical, and mental wellbeing

Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties.