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: 201 Market Street, Potsdam

DEPARTMENT: CPH PPM Patient Access  

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

 

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 complete demographic information, including address and phone number.  

Gathers medical information, including patient complaints.  

Revenue Cycle  

Views and scans insurance cards, verifying mandatory precertification and other third-party payer requirements.  

Obtains inpatient/observation patients' precertification's.  

Reworks accounts to ensure accurate patient statuses.  

Collects complete financial details, including payer name, identification number, and precertification numbers.  

Selects appropriate financial class and insurance code.  

Performs real-time eligibility verification and registration corrections via AHIqa.  

Screens for insurance eligibility via insurance websites when appropriate.  

Completes Medicare Secondary Payer Questionnaire for Medicare-eligible patients.  

Completes all admission forms required by Medicare.  

Verifies third-party payer benefits and Worker’s Compensation per departmental policy.  

Collects patient-pay balances (e.g., copays, co-insurance, deductibles) at registration.  

Refers patients to the Patient Financial Advocacy Program when applicable.  

Balances cash drawer, completes receipts, issues patient receipts, and secures funds daily.  

Registration/Pre-Registration  

Interviews patients and/or family members in person or by phone to collect demographic, financial, and medical information.  

Performs correct name inquiry and patient identification per policy.  

Collects demographic details, including address, phone number, and employer.  

Records medical information, including patient complaints.  

Explains consent forms, obtains signatures, and ensures proper witnessing.  

Obtains copies of patient identification documents.  

Completes registration within five minutes for preregistered patients and ten minutes for non-preregistered patients.  

Contacts physician offices to obtain and confirm patient information.  

Customer Service  

Demonstrates proficient customer service by greeting and treating all patients and staff with respect and discretion.  

Empathizes with patients and families while maintaining objectivity.  

Provides explanations for patient wait times and notifies management if wait times exceed 15 minutes.  

Greets each patient and introduces self by name and role.  

Reports incidents, errors, or patient complaints to management.  

Maintains patient privacy and confidentiality per established procedures.  

Assesses environment for safety hazards and reports them as necessary.  

Exhibits professionalism in appearance, speech, and conduct.  

Development  

Provides orientation and training for new staff.  

Attends Patient Access Meetings, training sessions, and educational events.  

Actively participates in required and voluntary in-service education.  

Engages in performance improvement initiatives within the organization and department.  

UNION:

1199-200B Clerical Workers (CPH)

Note: Not all per diem roles are union eligible

EDUCATION:

LICENSES / CERTIFICATIONS: 

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.

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 employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$18.70 - $27.44

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/Affirmative Action Employer.
Minority/Female/Disability/Veterans by a prospective employee and/or employee’s Physician or delegate will be considered for accommodations.