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Rochester Regional Health

Pre-Access Representative

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Job Description

Pre-Access Representative in POTSDAM, New York at
Rochester Regional Health Save New Salary:
$19.46
  • $28.
55/hr
Job Function:
Information Technology Rochester Regional Health POTSDAM, New York, 13676, United States Posted on October 6, 2026 New job! Apply early to increase your chances of getting hired. Explore Related Opportunities Miscellaneous Health Technologists and Technicians jobs near me in New York Jobs near me in New York Miscellaneous Health Technologists and Technicians jobs
Job Description JOB ID:
REQ_241469 Description Job Description SUMMARY The Pre-Access Representative will be responsible for handling the flow of scheduling calls. The essential responsibilities include pre-registration, scheduling, obtaining accurate demographics, providing exam preparations, and collection of appropriate authorizations/ICD codes in a courteous and efficient manner. They will be responsible for completing accounts with eligible insurance and authorization and complete patient pre-registration for scheduled procedures. The Representative will verify the patient payer eligibility, benefits/coverage, and estimated payment responsibility, confirm authorization requirements and secure on the account. The Representative will complete pre-registration phone interviews, to include obtaining necessary pre-registration information, including demographics, insurance information, and Medicare MSPQ, with documentation completed in the electronic medical record account. During the pre-registration interview, the representative will notify patient of potential financial responsibility and collect payment via phone, review issued Medicare ABN (Advance Beneficiary Notification), provide direction to facility and registration desk, and educate the patient regarding what items are required as part of the patient's facility registration process.
STATUS:
FULL-TIME LOCATION
SLH
MARKET 201
Market Street
  • Potsdam, NY 13676
DEPARTMENT:
COMMUNICATION CENTER SCHEDULE
MONDAY
  • FRIDAY 8:30AM-5PM
RESPONSIBILITIES
Scheduling Procedures:
Answers phones from patients/customers professionally and responding to patient/ customer complaints. Performs correct name inquiry and identifies patient according to policy and procedure without errors Schedules patients/customers based on scheduling guidelines and medical appropriateness. Receives a high volume of inbound calls with varying degrees of questions and concerns. Obtaining and collecting all necessary information from the patient/ customer to schedule and register the patient for an appointment. Consults with referring physician's office to ensure written and/ or electronic orders exist and obtain them as needed. Collects patient financial data, insurance, authorizations, and reference numbers. Collects complete demographic information of patient including address, phone number. Collects medical information to include patient complaint
Revenue Cycle:
Views insurance card(s) and scans into computer system reviewing for mandatory precertification and/or other third party payer requirements Obtains Inpatient/ Observation patients precertification's Re works accounts to ensure accurate patient statuses Collects complete financial information to include payer name, identification number, group number, subscriber name, guarantor name and address, and precertification numbers Selects appropriate financial class and insurance code Performs online real-time eligibility verification and registration scrub via AHIqa and makes changes to registration errors accordingly and in a timely fashion Screens for insurance edibility via insurance websites, where appropriate Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients Completes all admission forms required by Medicare Verifies third party payer benefits and Worker's Compensation according to departmental policy and procedure Collects any patient-pay balances such as copay, co-insurance, or deductible at time of registration Refers patient to Patient Financial Advocacy Program when appropriate and per departmental procedure Balances cash draw, completes cash receipt, issues patient receipts and secures safe daily with no exceptions
Registration/Pre-Registration:
Interviews the patient and/or family member either in person or by telephone to collect demographic, financial, and medical information Performs correct name inquiry and identifies patient according to policy and procedure without errors Collects complete demographic information of patient including address, phone number, and employer Collects medical information to include patient complaint Explains consent information, obtains signatures, witnesses (legibly) with no omissions Obtains copy of patient identification document(s) Completes registration process within five minutes for preregistered patients and ten minutes for non-preregistered Contacts physician offices to obtain and confirm patient information Customer Service Practices proficient customer service skills by greeting and treating all patients and staff with respect and discretion Capable of empathizing with the circumstances of patients and families while maintaining and objective approach to the disposition of each account Provides and explanation of any patient wait and responds to all patient requests. Notified manager of any patient wait times longer than 15 minutes. Greets each patient and identifies self by name and role Notifies the manager of incidents, errors or patient complaints Maintains patient privacy and confidentiality at all times according to established procedures Assess environment for safety hazards, which could harm patients, visitors, or other hospital employee's and reports any found to facilities/housekeeping/manager Exhibits professionalism in appearance, speech and conduct
Development:
Provide orientation and training of new staff Attend Patient Access Meetings, Training Sessions, etc Attend and actively participate in required and voluntary in-service education
MINIMUN QUALIFICATIONS
High School Diploma or GED required
PREFERRED QUALIFICATIONS
Associate's degree or higher in healthcare administration, business administration, or related field desired At least 1-3 years of customer service, administrative, and/or data entry experience preferred One to two years of previous experience in hospital related field preferred Experience with database software applications desired
PHYSICAL REQUIREMENTS
Sedentary
  • Sedentary roles are primarily office-based and require prolonged sitting (67-100% 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 driver's license.
PAY RANGE
$19.46
  • $28.
55 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. 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. Scan to Apply Just scan this QR code to apply from your phone. Scan to Apply Not ready to apply yet? Enter your email and we'll send you a reminder to come back and apply. Remind Me Later Job Location POTSDAM, New York, 13676, United States Frequently asked questions about this position Similar Jobs In POTSDAM, New York Physician
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Benefits

  • Dental Insurance