Patient Access Rep

Patient Access Representative

Department/Unit: Admitting Operations

Work Shift: Day (United States of America)

Salary Range: $40,495.10 - $52,643.64

The Patient Access Representative 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.

Responsible for creating encounters in ADT representing service patient is receiving. Responsible to discern demographic and insurance information to ensure and accurate registration. Responsible to interpret information received from Insurance Payer regarding patient's eligibility and financial responsibility. Responsible to discuss financial obligation of patient and collect via cash, credit card or check. Responsible to explain 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.

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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.