Access Services Representative I

Albany Medical Center; City of Albany (NY); On-site; USD 46,000 - 60,000; Full time

Job summary

Albany Medical Center’s Patient Access team seeks an Access Service Representative I to capture demographic and insurance information by phone or in person, verify eligibility, interpret payer responses, and determine financial responsibility for services rendered.

The role requires a high school diploma, 1–3 years of customer service experience, strong computer skills, and the ability to work across multiple hospital systems while delivering accurate, patient-centered registration in a

Qualifications

• High School Diploma or GED required.
• 1–3 years of customer service experience; healthcare setting preferred.

Responsibilities

• Accurately look up patients to ensure correct registration.
• Discern demographic and insurance information for accurate registration.
• Interpret information from Insurance Payer regarding eligibility and financial responsibility.
• Discuss patient financial obligations and collect payments via cash, credit card, or check.
• Explain regulatory forms and obtain signatures as needed.
• Scan or manage online forms to maintain the Electronic Health Record.
• Comply with Federal, State, and Third-Party Payer regulations for hospital registration.
• Work across multiple systems during calls or in-person interactions to complete registration.

Skills

Customer service

Communication

Multitasking

Calm under pressure

Education

High School Diploma/G.E.D.

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; escalates 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

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.