Senior Access Associate (Full-time,

Job Title: Senior Access Associate
Department: Department of Surgery RGH
Location: RGH - 1415 Portland Avenue Rochester NY 14621
Hours Per Week: 40
Schedule: Monday-Friday 8:00am-4:30pm

SUMMARY

While performing in the role of an Access Associate provides knowledge expertise and guidance to a team of access 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.

REQUIRED QUALIFICATIONS

• GED or High School Diploma

PREFERRED QUALIFICATIONS

• Associate degree
• 3 years related work experience in a healthcare or customer service setting
• Bilingual
• Basic computer skills excellent customer service and communication skills highly desired.

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work writing and telephone use supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration frequent interruptions independent decision-making and information processing. Although physical exposure is low administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours TB screening or a valid drivers license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employees physician or delegate will be considered for accommodations.

PAY RANGE:

$18.00 - $21.00

CITY:

Rochester

POSTAL CODE:

14618

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including but not limited to experience relevant qualifications specialty internal equity locations and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color creed religion sex (including pregnancy childbirth and related medical conditions) sexual orientation gender identity or expression national origin age disability predisposing genetic characteristics marital or familial status military or veteran status citizenship or immigration status or any other characteristic protected by federal state or local law.

Required Experience:

Senior IC