DescriptionHOW 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. Canton-Potsdam Hospital is a warm and caring not-for-profit community healthcare facility that's certified for 94 beds. Our mission is to provide exceptional healthcare services to the community. Within our welcoming walls, you'll find a wide array of core programs in emergency medicine, acute care, hospitalist medicine, and critical care. But that's just the beginning. We're not just a hospital; we're a beacon of health and wellness in the North Country. We proudly offer outpatient health services in Brasher Falls, Canton, Colton, Gouverneur, Massena, Norfolk, and Potsdam, NY. STATUS: Full Time LOCATION: Canton Potsdam Hospital DEPARTMENT: CPHPPM- Patient Access SCHEDULE: Monday to Friday; 9am to 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 ProceduresAnswers 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 CycleViews 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-RegistrationInterviews 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 ServiceDemonstrates 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. DevelopmentProvides 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. 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.PAY RANGE: $18.70 - $27.44 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, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/VeteranApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjkzOTEzLjEwNDE3QHJvY2hlc3RlcnJlZ2lvbmFsY29tcC5hcGxpdHJhay5jb20

Minimum Salary: 18.70 Maximum Salary: 27.44 Salary Unit: Hourly