Access Associate-Senior

STATUS:Per diem

JOB TITLE:Access Associate - Senior

DEPARTMENT: Support Services

LOCATION: Spine Center - 2655 Ridgeway Avenue Suite 440 Rochester NY 14626

SCHEDULE: Days Mon- Fri shift varies between 7:30am-4:00pm or 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

• NA

PREFERRED QUALIFICATIONS

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

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

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:

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience relevant qualifications specialty internal equity location 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.