STATUS: Full time

JOB TITLE: Access Associate

DEPARTMENT: Behavioral Health Administration

LOCATION:  Outpatient Mental Health - Pinewild - 100 Pinewild Drive
Rochester, NY 14606    

SCHEDULE:  Days, M-F, 830am-5pm

  

SUMMARY

In 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

• Manages incoming calls while providing necessary information.     

• Greeting of patients and/or their representatives and providing direction as needed.     

• Scheduling and/or prescheduling patient appointments.     

• Interviewing the patient and/or their representative for necessary information and completing the registration process as defined by departmental policy.     

• 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 precertification's/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.     

• Accurately sets up new patient record via Care Connect.      

• If qualified, may be asked to interpret on occasion.     

• Performs other duties as assigned.     

*RGMG Only: Flexibility and transportation to other medical group locations or other affiliated locations required. 

REQUIRED QUALIFICATIONS:

• Minimum of one year of customer service experience

PREFERRED QUALIFICATIONS:

• Associate degree

• Basic Computer Skills highly desired

EDUCATION:

LICENSES / CERTIFICATIONS: 

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.

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:

$17.85 - $20.00Rochester14606

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.