Access Representative I

About the role

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.

Responsibilities

• Accurate patient look up to ensure correct patient is being registered
• Discern demographic and insurance information to ensure accurate registration
• Interpret information received from Insurance Payer regarding patient’s eligibility and financial responsibility
• Discuss financial obligation of patient and collect via cash, credit card or check
• Explain regulatory forms and answer questions from patient; obtain signatures accordingly
• Scan or manage online form template to maintain the Electronic Health Record
• Comprehend Federal, State, Third Party Payer regulations as it pertains to a hospital registration
• Work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow

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
• Good judgement and ability to be resourceful to problem solve; escalate issues as needed
• Team minded worth ethic

Functional Competencies

• Social and Emotional Intelligence
• Patient centric – customer service
• Conflict Management
• Team-oriented support
• Adaptable to high-stress situation
• Excellent communication skill

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly

Salary Range: $46,215.00 - $60,080.00