Pre-Access Representative - Potsdam, NY (Full Time)

HOW WE CARE FOR YOU   

At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.   

• Same Day pay through Daily Pay  

• Paid vacation & holiday pay  

• Medical, dental, vision, hearing benefits  

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 patients facility registration process.  

St. Lawrence Health (SLH) was established in December 2013 with the mission to improve health and to expand access through coordination and integration of services. SLH became an affiliate of Rochester Regional Health (RRH) in January 2021. Working together with our community partners, including local health departments and agencies, we are focused on disease prevention, promoting access to quality healthcare services, and improving the overall quality of life for our communities. 

STATUS: Full Time  

LOCATION: Market Street, Potsdam, NY

DEPARTMENT: Patient Access Management  

SCHEDULE: Monday to Friday; 8:30 am to 5 pm 

ATTRIBUTES  

• Required: High school diploma or equivalent 

• Preferred: Medical terminology 

• Preferred: Associate's degree (or higher) in Healthcare Administration, Business Administration or related field. 

• Preferred: 1-3 years of Customer Service or Administrative 

RESPONSIBILITIES  

Scheduling Procedures  

• Answers phones from patients/customers professionally and responds to complaints.  

• Performs correct name inquiry and identifies patients per policy and procedure.  

• Schedules patients/customers based on guidelines and medical appropriateness.  

• Handles high volumes of inbound calls with varying questions and concerns.  

• Collects necessary information to schedule and register patients.  

• Consults with referring physician’s office to ensure required orders exist.  

• Collects patient financial data, insurance details, authorizations, and reference numbers.  

• Records comple