POSITION SUMMARY:
The Patient Access Services, Chemotherapy coordinator functions in a role encompassing the coordination of complex cancer patient visits, treatments, follow-up visits, procedures, chemotherapy authorizations, and insurance eligibility under the direction of Patient Access leadership. This position is responsible for maintaining and improving patient experience as well as providing high quality customer service to patients and colleagues. Keeps abreast of current insurance regulations and handles administrative support functions related to all departments under the division of Patient Access Services. Collaborates with nursing staff, non-clinical staff, and other professional staff to assist in an efficacious process flow and to ensure adherence to regulatory and contractual mandates.
RESPONSIBILITIES:
- Coordinates high volume, high patient admitting and discharging patients, including complex, interdependent scheduling of multiple appointments across multi-specialties for chemotherapy procedures, treatments, diagnostics and doctor visits for cancer patients.
- Coordinates outpatient multi-day treatments, pre-and post-treatment diagnostics, and lab tests to align with outpatient treatments and visits. Special attention to detailed coordination of high volume, multiple appointments within specified periods to align with treatment plans over several months or longer.
- Educates patients on necessary instructions for tests, orders of sequential and parallel appointments across the cancer center continuum, including coordinating care across medical oncology and radiation oncology.
- Obtains and verifies authorizations and/or notification for elective and emergent services via insurance payer website, facsimile, or phone.
- Performs scheduling/registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry.
- Ensure patient compliance with appointments and tests to ensure continued treatment.
- Identifies and refers patients with financial needs to the Financial Clearance team.
- Ensure doctor and facility is in network with patient's insurance plan, obtain single case agreements when needed. Submit proper documentation to the insurance company to obtain authorizations for treatments and doctor visits.
- Monitor and follow-up on no-show patients to identify and escalate patient compliance issues.
- Support administrative functions related to obtaining orders from physicians and responding to inquiries as necessary.
- Reconciles daily point-of-service collections.
- Covers and supports registration clerical responsibilities when instructed by Patient Access leadership.
- Demonstrates advanced critical thinking skills and the ability to effectively navigate ambiguous patient scenarios.
- Develop and maintain positive customer relationships with all patients.
- Demonstrates advanced critical thinking skills and the ability to effectively navigate ambiguous patient scenarios.
- Maintains current knowledge base regarding insurance information and managed care guidelines and knowledge-based of designated networks based upon managed care contracts.
- Merges patient charts from ancillary systems into the patients' electronic medical records.
- Collaborates with other departments to ensure the needs of the patient and department are met.
- Covers and supports registration clerical responsibilities when instructed by Patient Access leadership.
- Manages RQA reports by resolving errors and producing corrected accounts.
- Abides by documentation guidelines consistently.
- Adheres to all company and department policies and procedures in confidentiality, regulatory or contractual mandates and HR policy.
- Practices confidentiality and privacy protocols in accordance with hospital policies and HIPAA requirements.
- Complies with departmental dress code and maintains a neat appearance.
- Performs other department specific duties as deemed appropriate by patient Access Leadership.
REQUIREMENTS/EXPERIENCE AND QUALIFICATIONS:
- Associate's degree in Business, Finance, Healthcare or Patient Access certification required.
- Four (4) years experience in Healthcare Revenue Cycle and/or Business Office required.
- Two (2) years of Cancer Center experience required.
- Two (2) years of insurance pre-authorization and eligibility experience required.
- Customer service and support skills required.
- Strong communication, interpersonal, and multitasking skills required.
- CPT, ICD-10, and medical terminology experience required.
- Financial Aid, Medicaid or Financial Coordinator knowledge strongly preferred.
- Billing experience strongly preferred.
- Must possess quantitative analytical skills and computer savviness including Microsoft Office, Word, Excel, and PowerPoint, including knowledge of external provider web portals.
- Demonstrates exceptional attention to detail and accuracy in all tasks, ensuring high-quality results and minimizing errors.
- Must be able to multitask in a high-stress fast-paced environment.
- Capable of working independently with minimal supervision, demonstrating strong self-motivation and initiative with strong time management skills to meet deadlines.
- Possesses comprehensive knowledge to help in assisting patients in understanding medical insurance benefits.
PHYSICAL DEMANDS:
- Prolonged periods of standing, walking and sitting.
- Commuting to hospital and offsite facilities required.
- Must be able to lift up to 25 pounds.
- Possible exposure to various illnesses and diseases.
Special Notes Bachelors: Resume/CV should be included with the online application.
- 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 Southampton 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.
Company Overview:
Stony Brook Southampton Hospital as part of the Stony Brook Medicine provides direct access to the highest level of academic-based medical care. Located in the heart of the village of Southampton, two hours from New York City, the hospital provides healthcare services to a diverse community of year-round residents, second homeowners and vacationers. The population, about 75,000 in the winter months, increases sharply to more than 300,000 in the summer. Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by Newsday among large employers (defined as having 500+ employees).
StaffCo is a Professional Employer Organization, commonly referred to as a PEO. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Southampton employees and responsible for employment, including the day-to-day direction and supervision of work.StaffCo is fully responsible for providing all Payroll and Human Resource services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all benefits for which one is eligible. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.
Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.