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Job Title: Pre-Access Representative

Department: PPM

Hours Per Week: 40 hours

Schedule: Monday to Friday, day shift

SUMMARY:

The Pre-Access Representative is responsible for scheduling, pre-registration, and verifying insurance eligibility and authorizations for upcoming procedures. They ensure accurate collection of demographics, inform patients of financial responsibility, and collect payments when applicable. This role plays a key part in preparing patients for their visit by providing clear instructions and thorough documentation in the electronic medical record.

RESPONSIBILITIES:

+ Schedules procedures, answers high-volume calls, and gathers complete patient and appointment information accurately.

+ Verifies insurance, obtains authorizations, and collects copays or refers patients to financial assistance as needed.

+ Conducts pre-registration and registration interviews, ensuring accurate data entry and timely completion.

+ Communicates clearly and empathetically with patients, maintaining confidentiality and resolving concerns.

+ Completes Medicare forms, verifies eligibility, and ensures compliance with HIPAA and policy standards.

+ Maintains professionalism and a safe, organized work environment at all times.

+ Supports staff training and participates in meetings and improvement efforts.

REQUIRED QUALIFICATIONS:

+ High School Diploma (or equivalent)

PREFERRED QUALIFICATIONS:

+ Associate's degree in Healthcare or Business Administration (or related field)

+ 1-3 years of customer service, administrative, and data entry

+ Medical terminology

+ Strong attention to detail

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.