Position Summary At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial Screening and Verification, and patient throughput. Qualified candidates will demonstrate excellent communication skills, interpersonal skills, knowledge and understanding of patient care and effectively respond to changing patient needs by making decisions based on ethical principles and adhering to our high standard of excellence. The Patient Access Representative assigned to the Hospital Outpatient / Admitting office is a key member of the Patient Access Services team. The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors. The Representative adheres to strict rules of confidentiality, department, and organizational policies and procedures.Duties of a Patient Access Representative may include the following, but are not limited to:
- Participates in activities to ensure excellence in throughput for ambulatory patients. This will include ambulatory surgery, same day admissions, and hospital outpatient procedures.
- Responsible for ensuring correct coding of patient types, medical services, and verification of authorizations to support clean billing and revenue cycle goals.
- Determines eligibility and patient cost share (co-pay / deposit etc.) using electronic systems and other means, taking payments at point of service.
- Ensures that compliance regulations are met (presenting and securing consents and regulatory signatures from patients or designee, essential for treatment and payment, as per procedure).
- Maintains and requires appropriate documents as necessary (i.e. copies of photo ID and insurance documents etc.). Witnesses general consents, agreements, and acknowledgements.
- Provides financial guidance and excellence in Financial Care to patients and their representatives, presenting information about their benefit coverage and cost share responsibilities. Provides information on financial assistance services to self-pay patients, collecting required deposits when appropriate.
- Instructs practices on issues related to insurance verification of authorizations and referrals. Reviews registrations for completeness and correctness, supports the registration areas with financial services expertise.
- Collect co-pays, deposits and deductibles at time of registration / admission.
- Assists with other registration tasks as assigned.
The selected candidate will be required to work some holidays and will be scheduled to work every weekend. The schedule/pass days are subject to change. Essential Position: This function/position has been designated as essential. This means that when the Hospital is faced with an institutional emergency (staff shortages, increased census, inclement weather, and/or other emergencies), employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.Qualifications Required:
- Associate's Degree with one year working experience in public health or related industry such as insurance.
- In lieu of degree, two years of demonstrated excellence working in public health or related industry such as insurance or other related industry requiring similar skills, which demonstrates comparable complex skill experience in payment collection, insurance reimbursement, access services etc.
- Demonstrated excellence in verbal and written communication, computing and multi-tasking skills.
- Candidate must demonstrate experience and expertise in speaking with customers and can work well with persons who are under stress (such as sick patients and their distressed family members).
Preferred:
- Bilingual in English and Spanish.
- Billing Experience, hospital patient access / registration experience, familiarity with medical insurance benefits, demonstrated experience with EMR computerized registration / financial / IT systems.
- Knowledge of medical terminology.
- Previous experience as a patient access representative at a Medical Center is preferred.
Special Notes: Resume/CV should be included with the online application. Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
- Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
- All Hospital positions maybe subject to changes in pass days and shifts as necessary.
- This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
- This function/position maybe designated as essential. This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
- Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
- Complete electronic reference check with a minimum of three (3) professional references.
- Successfully complete a 4 panel drug screen*
- Meet Regulatory Requirements for pre employment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)###-####. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewedhere. Visit ourWHY WORK HERE page to learn about the total rewards we offer. Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as - $49,139 - $54,253 / year. The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. In addition, all UUP positions have an additional $3,400 for location, Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.