Finance Service Representative jobs at Northwell Health - 40 jobs
Financial Services Representative
Northwell Health 4.5
Finance service representative job at Northwell Health
Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log.
Job Responsibility
Interviews patients to obtain necessary financial and insurance information.
Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation.
Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator.
Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process.
Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
Follows up on scheduled payments via mail and telephone.
Processes applications for Section 1011, where applicable.
Maintains daily work log of payments collected.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
High School Diploma or equivalent required.
1-3 years of relevant experience, required.
This position will be fully remote Monday-Friday from 9am-5pm.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$55k-84k yearly est. Auto-Apply 5d ago
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Financial Services Specialist (hybrid)
Northwell Health 4.5
Finance service representative job at Northwell Health
Assists processing payments, issues patient receipts, and maintains collection log.
Job Responsibility
Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation.
Performs financial assessment of patients.
Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
Follows up on scheduled payments via mail and telephone.
Maintains daily work log of payments collected.
Operates with direct guidance and work assignments are generally straightforward and of moderate complexity.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
Bachelor's Degree required, or equivalent combination of education and related experience.
0-1 years of relevant experience, required.
This position will be hybrid, Monday-Friday from 9am-5pm (some 10am-6pm coverage may be needed)
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$55k-81k yearly est. Auto-Apply 3d ago
Lead Financial Services Representative (Hybrid)
Northwell Health 4.5
Finance service representative job at Northwell Health
Leads and guides FinancialServicesRepresentatives in the performance of duties, ensuring patients understand their financial obligations and necessary information is accurately entered into the billing system. Advise and counsel patients on financial responsibility, process payments, and maintain collection logs. Provides exceptional customer service, creating a seamless and efficient experience for patients.
Job Responsibility
1. Perform all functions of the FinancialServicesRepresentative, including answering inbound and outbound patient calls, verifying insurance coverage, documenting patient information, and arranging alternative payment methods
2. Lead and guide Associate FinancialServicesRepresentatives, FinancialServicesRepresentatives, and Senior FinancialServicesRepresentatives in the performance of their duties
3. Serve as a subject matter expert to support the testing and enhancement of new technologies, projects, and procedures
4. Use procedures, policy manuals, and other reference materials to assist in answering employee and manager inquiries and resolving issues
5. Participate in training new team members and ongoing educational programs for existing staff
6. Support supervisor with Real-Time Monitoring to ensure team members are adhering to their designed schedules, providing guidance to achieve departmental objectives
7. Identify abnormal events or consistent problem areas using qualitative feedback and statistical data to recommend methods to improve processes, procedures, and technologies
8. Works on problems of diverse scope and complexity ranging from moderate to substantial, escalate issues to the leaders as necessary
9. Makes recommendations to management on new processes, tools and techniques, or development of new products and services
10. Collaborates with senior team members in the development of methods, techniques and analytical approach
11. Provides work guidance, including checking and assigning work, to ensure accurate and timely completion of tasks
12. Perform related duties as required, ensuring all responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions
Job Qualification
1. 5-7 years of relevant experience, required.
2. Associate's Degree or equivalent combination of education and related experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
$55k-84k yearly est. Auto-Apply 10d ago
Financial Services Specialist (hybrid)
Northwell Health 4.5
Finance service representative job at Northwell Health
Assists processing payments, issues patient receipts, and maintains collection log. Job Responsibility + Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation. + Performs financial assessment of patients.
+ Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
+ Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
+ Follows up on scheduled payments via mail and telephone.
+ Maintains daily work log of payments collected.
+ Operates with direct guidance and work assignments are generally straightforward and of moderate complexity.
+ Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
+ Bachelor's Degree required, or equivalent combination of education and related experience.
+ 0-1 years of relevant experience, required.
This position will be hybrid, Monday-Friday from 9am-5pm (some 10am-6pm coverage may be needed)
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $64350-$75012/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
$64.4k-75k yearly 2d ago
Pre-Service Representative - GFH
Albany Med 4.4
Ballston Spa, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Pre-ServiceRepresentative I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience with assisting in scheduling of services for our Hospital and Practice. This requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to collect patient financial obligation pre-services.
The Pre-ServiceRepresentative I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-ServiceRepresentative II as Career Ladder requirements indicate.
Responsibilities:
Maintain strict adherence to the Albany Medical Center Confidentiality policy.
Incorporate Albany Medical Center Customer Service Standards and demonstrates commitment toward meeting and exceeding the needs of our customers into daily activities.
Comply with all Albany Medical Center Policies.
Comply with behavioral expectations of the department.
Maintain courteous and effective interactions with colleagues.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Participate in departmental and/or interdepartmental quality improvement activities.
Participate in the training and onboarding of new staff members
Participate in and successfully completes Mandatory Education.
Perform all other duties as needed or directed to meet the needs of the department.
Adheres to AMC Corporate Compliance Plan
Qualifications:
High School Diploma
1 - 2 years winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Insurance knowledge, preferred
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 20d ago
Financial Services Representative
Northwell Health 4.5
Finance service representative job at Northwell Health
Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log.
Job Responsibility
Interviews patients to obtain necessary financial and insurance information.
Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation.
Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator.
Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process.
Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
Follows up on scheduled payments via mail and telephone.
Processes applications for Section 1011, where applicable.
Maintains daily work log of payments collected.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
High School Diploma or equivalent required.
1-3 years of relevant experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Finance service representative job at Northwell Health
The Northwell Health Revenue Cycle team performs a vital role within our organization by handling all billing and collecting of hospital receivables. There are a wide range of career opportunities available from medical coders and appeals to auditors and clinical documentation. From our customer service team members who are handling patient registration and patient financial counseling in our hospitals, to those working in non-patient-facing areas such as insurance verification or health information management, they're working together to improve the experience of our patients and to secure financial strength for our organization to continue to grow.
Primarily performing all functions within a customer tele-servicing center, servicing a high volume of billing related customer requests
Job Responsibility:
Understand intricacies of health care billing and how to communicate effectively
Have financial conversations and drive the collection of payments
Promote meaningful and positive payment experiences through relevant and informed conversations with customers regarding the financialservices that we can offer
Create flawless experiences for our customers by addressing customer inquiries and resolving service issues that include but are not limited to: researching and analyzing accounts receivable and outstanding balances, negotiating and advising on the collection of overdue bills and payment plans, collecting overdue payments, understanding financial assistance offerings, managing and resolving customer disputes
Address and resolve complex escalated billing and service issues utilizing department policies and procedure manuals, guidelines and other reference materials
Create innovative ways to resolve customers' issues or concerns to win their loyalty
Provide input for new service processes and strategies
Be accountable and take ownership of the customer's experience from beginning to end. Identify opportunities to proactively meet member needs to deliver value - add recommendations and services
Meet individual performance objectives based on customer satisfaction, productivity and overall positive / proactive behavior, while participating in training sessions to remain current on various policies, processes, systems and procedures related to servicing of customers
Work with internal departments to achieve common goals
Preferred Skills:
Fluent in speaking spanish
Job Qualification:
High School Diploma or equivalent required.
0-1 years of relevant experience, required.
Regular Work Schedule: Full-time, 37.5 hr/week; Training is usually 9-5:00 onsite for the first 8 weeks and then transitions to a 10-6:00 shift with a hybrid schedule
$55k-84k yearly est. Auto-Apply 11d ago
Access Service Representative I - CMH
Albany Med 4.4
Catskill, NY jobs
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Access ServiceRepresentative 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
Must have flexibility to work Saturdays, as needed/required
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; escalate 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 Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 49d ago
Pre-Service Representative I - CMH
Albany Med 4.4
Catskill, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64Salary Range: $18.00 - $23.79 The Patient Engagement Liaison is the FIRST contact to Albany Med via telephone, thus first touchpoint in our Patient's Experience. This first impression must be received in a Compassionate and Respectful manner; engaging the caller in a professional manner. The critical role of the Patient Engagement Liaison is to ensure our patients and provider requests for services are triaged expeditiously and accurately to need. Additionally, receive information from patients and providers, via telephone and fax, and review and assess how to manage the incoming information. The position requires high degree of concentration, information retention, high volume workflow and quick turnaround time of telephone call and fax information.
Responsibilities:
Ability to handle high volume workload and stressful environment
Strong ability to multi-task and prioritize workload
Ability to engage patients/customers in a calm, respectful manner; regardless of tone or attitude of patient/customer via telephone
Demonstrated attention to detail with minimal error
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 46d ago
Pre-Service Representative
Albany Med 4.4
Catskill, NY jobs
Department/Unit:
Admitting Operations
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Pre-ServiceRepresentative I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience with assisting in scheduling of services for our Hospital and Practice. This requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to collect patient financial obligation pre-services.
The Pre-ServiceRepresentative I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-ServiceRepresentative II as Career Ladder requirements indicate.
Education:
HS Graduate
Licensure, Certification & Registration:
None
Experience:
1 - 2 years Winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Insurance knowledge, preferred
Skills, Knowledge & Abilities:
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit
Must be able to manage pressure of very tight timeframes to execute task
Ability to learn in classroom, utilizing resources
Ability to maintain composure under pressure
Ability to review information and draw appropriate conclusion
Good judgement and ability to be resourceful to problem solve; escalate issues as needed
Team minded worth ethic
Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 46d ago
Pre-Service Representative
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 * Register patients, update insurance information, schedule visits, and other duties as assigned to coordinate patient appointment scheduling.
* Interact with a diverse patient population.
* Utilize the electronic medical record to maintain patient records via registration process and scan functionality.
* Be knowledgeable with state and government agencies to provide proper consents for patients who are wards of the state; work with facilities to obtain proper consents from patient proxies.
* Be knowledgeable of and adhere to payer requirements for referrals and authorization within the scope of the specialty they are assigned.
* Schedule follow up appointments, referrals and prior authorization for patient schedule visits as needed.
* Communicate professionally and timely with all parties, including providers, patients, clinical care team, and insurance companies.
* Answer incoming phone calls and direct appropriately to team members.
* Conveys professional image by adhering to the established dress code.
Essential Duties and Responsibilities
* Responsible for registration and scheduling process for complex patients.
* Responsible for updating the system with registration, scheduling and insurance information.
* Prepares patient disability and out of work / school paperwork.
* Responsible for discussing financial obligation and explaining regulatory forms, as well as answering any questions.
* Works in multiple systems during patient facing interactions and telephone call receipts to complete accurate registration and to support the clinical workflow.
* Understands the practice and hospital strategic plan.
* Supports plans, policy and procedures, and initiatives within scope of their departments expectations and role.
* Represents AMC and supports the ideals and principles of their department, the Practice, the Hospital and the Center.
* Exemplify Albany Med CARES guiding principles.
* Is a champion to ensure an optimal patient experience.
* Understands and promotes patient and employee safety as our top priority.
* Promotes a safe environment and promptly reports issues.
* Understands patient safety goals.
Qualifications
* High School Diploma/G.E.D. - required
* 2-3 years office experience or one year of related experience in a medical practice - preferred
* Experience using an electronic health record and Microsoft Office a plus.
* Excellent customer service skills.
* Ability to multi-task in a high patient volume unit.
* Ability to learn and utilize resources.
* Strong time management skills.
* Ability to review information and draw appropriate conclusions.
* Good judgement and ability to problem solve; escalate issues as needed.
* Strong teamwork skills and work ethic.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Rarely
* Pulling - Rarely
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Rarely
* Talking - Constantly
* Hearing - Constantly
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Frequently
Working Conditions
* Extreme cold - Rarely
* Extreme heat - Rarely
* Humidity - Rarely
* Wet - Rarely
* Noise - Occasionally
* Hazards - Rarely
* Temperature Change - Rarely
* Atmospheric Conditions - Rarely
* Vibration - Rarely
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 12d ago
Pre-Service Representative - GFH
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Patient Engagement Center Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 The Pre-ServiceRepresentative I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience with assisting in scheduling of services for our Hospital and Practice. This requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to collect patient financial obligation pre-services.
The Pre-ServiceRepresentative I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-ServiceRepresentative II as Career Ladder requirements indicate.
Responsibilities:
* Maintain strict adherence to the Albany Medical Center Confidentiality policy.
* Incorporate Albany Medical Center Customer Service Standards and demonstrates commitment toward meeting and exceeding the needs of our customers into daily activities.
* Comply with all Albany Medical Center Policies.
* Comply with behavioral expectations of the department.
* Maintain courteous and effective interactions with colleagues.
* Demonstrate an understanding of the job description, performance expectations, and competency assessment.
* Participate in departmental and/or interdepartmental quality improvement activities.
* Participate in the training and onboarding of new staff members
* Participate in and successfully completes Mandatory Education.
* Perform all other duties as needed or directed to meet the needs of the department.
* Adheres to AMC Corporate Compliance Plan
Qualifications:
* High School Diploma
* 1 - 2 years winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
* Insurance knowledge, preferred
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 18d ago
Pre-Service Rep I
Albany Med 4.4
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64Pre-Service Rep I
Essential Duties and Responsibilities
Responsible for registration and scheduling process for complex patients.
Responsible for updating the system with registration, scheduling and insurance information.
Prepares patient disability and out of work / school paperwork.
Responsible for discussing financial obligation and explaining regulatory forms, as well as answering any questions.
Works in multiple systems during patient facing interactions and telephone call receipts to complete accurate registration and to support the clinical workflow.
Understands the practice and hospital strategic plan.
Supports plans, policy and procedures, and initiatives within scope of their departments expectations and role.
Represents AMC and supports the ideals and principles of their department, the Practice, the Hospital and the Center.
Exemplify Albany Med CARES guiding principles.
Is a champion to ensure an optimal patient experience.
Understands and promotes patient and employee safety as our top priority.
Promotes a safe environment and promptly reports issues.
Understands patient safety goals.
Qualifications
High School Diploma/G.E.D. - required
2-3 years office experience or one year of related experience in a medical practice - preferred
Experience using an electronic health record and Microsoft Office a plus.
Excellent customer service skills.
Ability to multi-task in a high patient volume unit.
Ability to learn and utilize resources.
Strong time management skills.
Ability to review information and draw appropriate conclusions.
Good judgement and ability to problem solve; escalate issues as needed.
Strong teamwork skills and work ethic.
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 36d ago
Pre-Service Representative
Albany Med 4.4
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Pre-ServiceRepresentative I is responsible for the initial touchpoint of our patient population to provide an exceptional patient experience with assisting in scheduling of services for our Hospital and Practice. This requires ability to work in a high-volume, fast paced environment. Understanding of complex scheduling needs of our patients in an empathetic, compassionate manner is critical. 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. The position requires ability to understand and apply contractual benefits to the service being rendered, with ability to collect patient financial obligation pre-services.
The Pre-ServiceRepresentative I, after one year in the position and based on performance and success in position, has ability to be promoted to Pre-ServiceRepresentative II as Career Ladder requirements indicate.
Salary Range: $19 - $23.79
Education:
High School Diploma or equivalent is required
Experience:
Minimum of 1 - 2 years of experience
Winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Insurance knowledge, preferred
Skills, Knowledge & Abilities:
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit
Must be able to manage pressure of very tight timeframes to execute task
Ability to learn in classroom, utilizing resources
Ability to maintain composure under pressure
Ability to review information and draw appropriate conclusion
Good judgement and ability to be resourceful to problem solve; escalate issues as needed
Team minded worth ethic
Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 14d ago
Pre-Service Representative I
Albany Med 4.4
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Pre-ServiceRepresentative is the FIRST contact to Albany Med via telephone, thus first touchpoint in our Patient's Experience. This first impression must be received in a Compassionate and Respectful manner; engaging the caller in a professional manner. The critical role of the Patient Engagement Liaison is to ensure our patients and provider requests for services are triaged expeditiously and accurately to need. Additionally, receive information from patients and providers, via telephone and fax, and review and assess how to manage the incoming information. The position requires high degree of concentration, information retention, high volume workflow and quick turnaround time of telephone call and fax information.
Responsibilities:
Ability to handle high volume workload and stressful environment
Strong ability to multi-task and prioritize workload
Ability to engage patients/customers in a calm, respectful manner; regardless of tone or attitude of patient/customer via telephone
Demonstrated attention to detail with minimal error
Thank you for your interest in Albany Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 6d ago
Access Service Representative I - CMH
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Patient Access Work Shift: Day (United States of America) Salary Range: $40,495.10 - $52,643.64 The Access ServiceRepresentative 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
* Must have flexibility to work Saturdays, as needed/required
* 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; escalate 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 Medical Center!
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.
$40.5k-52.6k yearly Auto-Apply 48d ago
Pre-Service Representative
Albany Med 4.4
Albany, NY jobs
Department/Unit:
Patient Engagement Center
Work Shift:
Day (United States of America)
Salary Range:
$40,495.10 - $52,643.64The Pre-ServiceRepresentative I is Responsible for coordinating and scheduling radiology imaging services across multiple modalities, including MRI, CT, Ultrasound, X-ray, and Interventional Radiology, ensuring appointments are scheduled accurately based on clinical indications, provider orders, and modality-specific requirements. Reviews referrals for completeness, verifies patient eligibility, screening criteria, and exam protocols, and collaborates with clinical teams to resolve scheduling barriers. Provides clear patient communication regarding preparation, timing, and expectations to support optimal workflow, patient safety, and access to care.
Education:
HS Graduate
Licensure, Certification & Registration:
None
Experience:
1 - 2 years Winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
Insurance knowledge, preferred
Skills, Knowledge & Abilities:
Proven customer service skill with ability to exceed expectations
Ability to multi-task in stressful and high patient volume unit
Must be able to manage pressure of very tight timeframes to execute task
Ability to learn in classroom, utilizing resources
Ability to maintain composure under pressure
Ability to review information and draw appropriate conclusion
Good judgement and ability to be resourceful to problem solve; escalate issues as needed
Team minded worth ethic
Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
Thank you for your interest in Albany Medical Center!
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.
Finance service representative job at Northwell Health
**Req Number** 145136 The Northwell Health Revenue Cycle team performs a vital role within our organization by handling all billing and collecting of hospital receivables. There are a wide range of career opportunities available from medical coders and appeals to auditors and clinical documentation. From our customer service team members who are handling patient registration and patient financial counseling in our hospitals, to those working in non-patient-facing areas such as insurance verification or health information management, they're working together to improve the experience of our patients and to secure financial strength for our organization to continue to grow.
Primarily performing all functions within a customer tele-servicing center, servicing a high volume of billing related customer requests
Job Responsibility:
+ Understand intricacies of health care billing and how to communicate effectively
+ Have financial conversations and drive the collection of payments
+ Promote meaningful and positive payment experiences through relevant and informed conversations with customers regarding the financialservices that we can offer
+ Create flawless experiences for our customers by addressing customer inquiries and resolving service issues that include but are not limited to: researching and analyzing accounts receivable and outstanding balances, negotiating and advising on the collection of overdue bills and payment plans, collecting overdue payments, understanding financial assistance offerings, managing and resolving customer disputes
+ Address and resolve complex escalated billing and service issues utilizing department policies and procedure manuals, guidelines and other reference materials
+ Create innovative ways to resolve customers' issues or concerns to win their loyalty
+ Provide input for new service processes and strategies
+ Be accountable and take ownership of the customer's experience from beginning to end. Identify opportunities to proactively meet member needs to deliver value - add recommendations and services
+ Meet individual performance objectives based on customer satisfaction, productivity and overall positive / proactive behavior, while participating in training sessions to remain current on various policies, processes, systems and procedures related to servicing of customers
+ Work with internal departments to achieve common goals
Preferred Skills:
+ Fluent in speaking spanish
Job Qualification:
+ High School Diploma or equivalent required.
+ 0-1 years of relevant experience, required.
Regular Work Schedule: Full-time, 37.5 hr/week; Training is usually 9-5:00 onsite for the first 8 weeks and then transitions to a 10-6:00 shift with a hybrid schedule
The salary range for this position is $32799.98-$48539.99/year
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
$32.8k-48.5k yearly 10d ago
Insurance Discovery and Estimate Representative
Albany Med 4.4
New Scotland, NY jobs
Department/Unit:
Patient Access
Work Shift:
Day (United States of America)
Salary Range:
$41,136.28 - $57,590.79The Insurance Discovery and Insurance Cost Estimate Representative, AMHS has skill set encompassing strong working knowledge of third-party payer regulations; interpretation of payer contracts and applying contractual agreement to ensure payment and accurate estimates. Ability to be the liaison for challenging encounters requiring more than average time to resolve, to permit staff to manage workload. Work collaboratively with the Enrollment Service partner to ensure timely disposition for Medicaid Pending encounters.
Essential Duties and Responsibilities
Review all self-pay encounters to identify insurance or determine referral to Enrollment Service Partner
Assess challenging encounters from Out of State, International to secure payment source
Provide accurate estimates in support of the No Surprise Act, Good Faith Estimates guidelines and Financial Aid Policy.
Ability to provide explanation to patients of insurance benefits and self-pay estimates, including collection of balances owed.
Ability to review, assess and reconcile Medicaid Pending inventory to ensure timely disposition.
Review and determine, based on eligibility response, benefits and coverage to ensure 100% coverage for inpatient and outpatient services.
Ability to explain to Clinic Staff, Outside Providers, and Patients financial responsibility and associated policies and legislation supporting patient's financial responsibility and expected payment guidelines.
Supports department operations as needed to ensure all encounters are financially secured prior to discharge.
Support colleagues across the Albany Med Health System to ensure workload expectations are met as a team and not as individual contributors.
Contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee's work is valuable and contributes to the success of the Mission.
Qualifications
Associate's Degree - required
Bachelor's Degree - preferred
3 - 5 years working knowledge of third-party payer regulations; healthcare financial counseling and Hospital or Physician office experience; in lieu of degree 5 - 7 years experience - required
Exceptional knowledge of insurance discovery strategies including payer portals.
Knowledge of Hospital Financial Law specific to No Surprise Act and Good Faith Estimate legislation.
Demonstrated critical thinking skill to successful resolution
Proven customer service skill with ability to exceed expectations with sensitive patient interactions
Analyze encounter history to secure financial responsibility.
Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
Ability to remain composed under pressure
Ability to review information and draw appropriate conclusion
Good judgement and ability to be resourceful to problem solve; escalate issues as needed
Team minded worth ethic
Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
Critical thinking ability regarding issues with financially securing payment
Ability to discuss sensitive concepts with patients regarding financial obligations
Ability to understand complex billing processes
Medical Terminology
CHAA - Certified Healthcare Access Associate within 1 Year - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Frequently
Feeling - Occasionally
Talking - Frequently
Hearing - Frequently
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Rarely
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 Medical Center!
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.
$41.1k-57.6k yearly Auto-Apply 15d ago
Insurance Discovery and Estimate Representative
Albany Medical Health System 4.4
Albany, NY jobs
Department/Unit: Patient Access Work Shift: Day (United States of America) Salary Range: $41,136.28 - $57,590.79 The Insurance Discovery and Insurance Cost Estimate Representative, AMHS has skill set encompassing strong working knowledge of third-party payer regulations; interpretation of payer contracts and applying contractual agreement to ensure payment and accurate estimates. Ability to be the liaison for challenging encounters requiring more than average time to resolve, to permit staff to manage workload. Work collaboratively with the Enrollment Service partner to ensure timely disposition for Medicaid Pending encounters.
Essential Duties and Responsibilities
* Review all self-pay encounters to identify insurance or determine referral to Enrollment Service Partner
* Assess challenging encounters from Out of State, International to secure payment source
* Provide accurate estimates in support of the No Surprise Act, Good Faith Estimates guidelines and Financial Aid Policy.
* Ability to provide explanation to patients of insurance benefits and self-pay estimates, including collection of balances owed.
* Ability to review, assess and reconcile Medicaid Pending inventory to ensure timely disposition.
* Review and determine, based on eligibility response, benefits and coverage to ensure 100% coverage for inpatient and outpatient services.
* Ability to explain to Clinic Staff, Outside Providers, and Patients financial responsibility and associated policies and legislation supporting patient's financial responsibility and expected payment guidelines.
* Supports department operations as needed to ensure all encounters are financially secured prior to discharge.
* Support colleagues across the Albany Med Health System to ensure workload expectations are met as a team and not as individual contributors.
* Contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee's work is valuable and contributes to the success of the Mission.
Qualifications
* Associate's Degree - required
* Bachelor's Degree - preferred
* 3 - 5 years working knowledge of third-party payer regulations; healthcare financial counseling and Hospital or Physician office experience; in lieu of degree 5 - 7 years experience - required
* Exceptional knowledge of insurance discovery strategies including payer portals.
* Knowledge of Hospital Financial Law specific to No Surprise Act and Good Faith Estimate legislation.
* Demonstrated critical thinking skill to successful resolution
* Proven customer service skill with ability to exceed expectations with sensitive patient interactions
* Analyze encounter history to secure financial responsibility.
* Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
* Ability to remain composed under pressure
* Ability to review information and draw appropriate conclusion
* Good judgement and ability to be resourceful to problem solve; escalate issues as needed
* Team minded worth ethic
* Demonstrated ability interpret patient's insurance benefits and apply the applicable contractual obligations
* Critical thinking ability regarding issues with financially securing payment
* Ability to discuss sensitive concepts with patients regarding financial obligations
* Ability to understand complex billing processes
* Medical Terminology
* CHAA - Certified Healthcare Access Associate within 1 Year - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Frequently
* Feeling - Occasionally
* Talking - Frequently
* Hearing - Frequently
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Rarely
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 Medical Center!
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.