Access Care Representative A
Req #: 46889
Full Time
Shift: Days
WMC Access Care
United Health Services Hospitals
Johnson City, NY
Weekly hours: 40

Access Care Representative A, WMC

United Health Services is seeking Access Care Representative A to join our WMC Access Care Team in Johnson City, NY. This is a BENEFITS-ELIGIBLE position.

Shift: Days
Hours per week: 40
Salary range: $16.35- $22.13/hour, depending on experience


Access Care Representative A Overview

Under supervision, performs secretarial duties, utilizing knowledge of medical terminology and hospital, clinical, or laboratory procedures.

Access Care Representative A Key Responsibilities and Expectations

  • Completes registration fields for all patients who are to be pre-registered a minimum of two (2) business days prior to their scheduled appointment; Handles all ER, outpatient walk-in or add-on appointments as well as Inpatient or Observation admission registrations.
  • Updates and maintains the hospital census and bed board system according to physician and nurse requests.
  • At times, may assist with scheduling patients for applicable appointments and coordinates the completion of all applicable fields.
  • Documents contact with insurance carrier, other staff, or patient in Soarian Financial, along with result of precertification request. Documentation should include, but is not limited to, demographics and insurance information.
  • Contacts physician, physician office, or patient to resolve issues regarding prior authorization or related information.
  • Assigns health plans accurately and research patient related encounters to ensure all assigned health plans are linked.
  • Performs electronic eligibility confirmation when applicable and document results.
  • Completes Medicare Secondary Payor Questionnaire as applicable for retention in Soarian.
  • Contacts patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information and instructs patient on where to present at time of appointment.
  • Calculates patient cost share and is prepared to collect via phone, face to face or make payment arrangement; Receives and records payments from patient.
  • Communicates with Financial Advocacy Team as necessary to ensure prompt assistance with patients without insurance.
  • Research and appeals insurance carrier denials by reviewing denial reason codes to determine cause; updates encounter appropriately after denial cause is identified and allows encounters to be reprocessed for payment.
  • Assists in the preparation of patients’ medical record for ambulatory and inpatient surgical cases.
  • Maintains a high knowledge level of all insurance payers, including managed care, governmental, commercial, no fault, workers’ compensation, etc.
  • Demonstrate commitment to organizational Values of Compassion, Trust, Respect, Teamwork, and Innovation.

Position Qualifications


  • High School Diploma or equivalent, with two (2) years’ experience in similar field


  • Associate’s Degree, or 5 years equivalent experience in lieu of degree
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Benefits That Make A Difference

While you’re making a difference in the health and well-being of our patients and communities, United Health Services takes care of you. We are proud to be able to offer our employees and providers a comprehensive benefits package that supports their needs today and for the future with a competitive retirement plan; comprehensive health, dental, vision and health savings and spending accounts; wellness programs that empower our employees to stay healthy and balance work and life goals; group life and disability options; and a generous paid time off (PTO) program. On top of that, we invest in you by offering tuition reimbursement and other programs designed to help you grow your career. The majority of these benefits are available to you for working at least 24 hours per week.

These are just a few of the perks and benefits you can expect when you join the United Health Services team. Be sure to ask your recruiter about all the benefits associated with the position you’re applying for.

Why United Health Services?

We are one of the region’s top employers with an excellent reputation for the care we provide. Our pay, benefits and perks are very competitive. We’re compassionate about patients and respectful of each other. We offer you the stability, size, scope and capabilities of big city health systems, but with the trust and familiarity of more personalized care. We’re engaged with our communities. And, we recognize the importance of work-life balance. Discover the difference you can make, here with us, at United Health Services.

About Our Region

Binghamton, a friendly and close-knit city in Broome County, offers beautiful and affordable homes in downtown, suburban and rural settings, as well as good public and private schools. Nightlife and cultural activities include craft breweries, restaurants and award-winning wineries. First Fridays celebrate local artists and there are frequent music and food festivals. Outdoor activities also abound, from skiing and golf to hiking, biking and more.