POSITION SUMMARY:
The Patient Access Services, Quality Improvement (QI) Coordinator will have a very diverse range of responsibilities, including implementing improvement activities, policy and procedure management, and increasing compliance rates, which require excellent professional skills. This position will be responsible for data collection, analysis, and measurement of key performance indicators. The Coordinator will be responsible for all areas of Patient Access Services (PAS) and will be required to travel to satellite facilities. They will be responsible for data collection and analysis of various quality data types across all areas of PAS. This position will resolve quality-related errors/inquiries, develop reporting mechanisms and databases, maintain daily audits, conduct ad hoc performance audits, and log such data to provide in detail to Patient Access leadership. The Coordinator will work with the Quality Assurance Manager to improve the department's revenue cycle and turn data into actionable initiatives.
RESPONSIBILITIES:
- Leads and participates in performance improvement activities and ensures compliance of all work-related activities.
- Develops a system for defining, identifying, and monitoring departmental quality indicators.
- Identifies department quality gaps and trends, prioritizes and recommends improvements, decreases duplication, and ensures compliance of state and federal regulations, in collaboration with the Quality Assurance Manager.
- Investigates incident reports, possible patient identity theft occurrences, and patient complaints.
- Utilizes many disparate systems and maintains applications at the user and administrative level.
- Primary writer, researcher and editor of proposed Patient Access Services policies and procedures.
- Collaborates with Patient Access Services Leadership on new ways to increase quality and compliance and helps with designing and preparing department training sessions.
- Demonstrates the ability to utilize data retrieval insurance eligibility systems and correct erroneous registrations.
- Documents and tracks internal audits and other quality assurance activities.
- Develops and maintains quality data reports.
- Provides feedback to the management team for employee annual evaluations.
- Addresses staff management issues including policy questions, performance evaluations, staff development, and disciplinary issues.
- Oversees and coordinates the flow of the overall functions of the Patient Access Services department through service management.
- Provides support and coverage for Patient Access Services Leadership in time of any absences or deemed necessary for conflicting responsibilities.
- Develops and maintains quality data reports.
- Collaborates with other departments to ensure the needs of the patient and department are met.
- 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, Healthcare, or related field or Patient Access certification required.
- Four (4) years' experience in Healthcare / Revenue Cycle / Business Office required.
- Two (2) years' Patient Access experience required.
- Two (2) years' quality and data integrity experience required.
- Customer service and support skills required.
- CPT, ICD-10, and medical terminology experience required.
- Strong communication, interpersonal, and multitasking skill required.
- 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: 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 Southampton 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 Southampton Hospital'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 Human Resources department will be responsible for any fee incurred for examination.
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, duly organized and registered under the New York Professional Employer Organization law.. 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, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining..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 employee benefits. 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.
Stony Brook Medicine 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.
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tony 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.