Senior Access Associate in ROCHESTER, New York at Rochester Regional Health

Job Title: Senior Access Associate
Department: Department of Surgery RGH
Location: RGH - 1415 Portland Avenue, Rochester, NY 14621
Hours Per Week: 40
Schedule: Full-Time, Days, Monday-Friday, 8hr shifts, no weekend rotation, no on-call, 8:00am-4:30pm or 7:30am-3:30pm

SUMMARY:

While performing in the role of an Access Associate, provides knowledge, expertise and guidance to a team of access associates. In a customer service-oriented manner, interviews patients and/or their representative to collect required registration data, to include but is not limited to; demographic and financial data as well as obtain required signatures, communicates mandated patient information and verifies all information for accuracy. Process includes but is not limited to insurance verification, obtaining precertification/authorization, co-payment collection and communicating with patient and/or their representative with regards to their financial assistance needs.

RESPONSIBILITIES:

• Within the senior capacity:

• Applies mastery of skills in area of specialization

• Provides guidance and general oversight to less experienced employees; may train new employees.

• Duties and tasks reflect substantial variety and complexity.

• Serves as a resource to others in the resolution of complex issues, patient cases, or technical skills.

• Provides knowledge, expertise and guidance to a team of access associates to ensure the following duties are completed timely and accurately while meeting regulatory standards.

• Manages incoming calls while providing necessary information.

• Greeting of patients and/or their representatives and providing direction as needed.

• Scheduling and/or prescheduling patient transportation as needed

• Registering and/or pre-registering patient visits.

• Interviewing the patient and/or their representative for necessary information and completing the registration process as defined by departmental policy. (meet and greet)

• Identification of services where no payment source has been identified to be followed up by communication of financial assistance and/or payment arrangements.

• Verification of insurance eligibility/coverage and obtaining necessary precertifications/authorizations when applicable.

• Collecting/processing co-payments, deductibles and/or other types of payments. Provides an estimate of cost when applicable.

• Reviews charges in charge review WQs for completeness and accuracy.

• Ensures the accuracy of all data collected while meeting the regulatory requirements as outlined by the departmental policy.

• Communication with external customers such as but not limited to; payers, physician offices and other departments.

• Performs other duties as assigned.

PREFERRED QUALIFICATIONS:

• Basic computer skills, excellent customer service and communication skills highly desired.

• Associate degree preferred.

• 3 years related work experience in a healthcare or customer service setting preferred.

• Bilingual preferred.

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $18.00 - $21.00

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts.