Patient Access Representative - Emergency Department - Includes Weekend Hours - 2003182
At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized goal oriented Patient Access duties support the Revenue Cycle, Compliance and Patient Experience completing varied, complex and specialized functions in areas of Registration, Financial Screening and Verification, 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.
Duties of a Patient Access Representative may include the following but are not limited to:
Coordinates and supports activities to ensure excellence in throughput for inpatient and observation patients. This will include same day admissions, urgent, emergency, and transfers.
Responsible for review and ensure correct coding of patient types, medical services to support billing and revenue cycle goals to include patient status changes.
Follow appropriate patient placement utilizing the facilities bed allocation.
Completes and files death certificates with Brookhaven Town and Department of Health.
Determines eligibility and patient cost share (co-pay / deposit etc.) using electronic systems and other means, taking payments at point of service.
Determines and communicates to each patient/patient representative, confirming how the encounter will be paid, and properly assist in screening self-pay patients to determine Medicaid or Charity Care options, referring to a Financial Counselor when appropriate.
Ensures that compliance regulations are met (including ensuring securing consents and r egulatory 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. Witnessing general consents, agreements, and acknowledgements.
Provides financial guidance and excellence in Financial Care to patients and their representatives including information about their health care insurance coverage, cost share responsibilities and for self-pay patients, qualification for Medicaid and / or the financial assistance working to ensure complete applications for Medicaid and/or Financial Aid applications. Provides Medicaid/ Marketplace (Affordable Healthcare Act) counseling as appropriate.
Assists and instructs staff as well as clients 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.
Monitors staff productivity and provide constructive feedback to staff with management guidance.
Train and in-service new and continuing employees on a continuing basis.
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.
Required Qualifications: Associate's Degree with one year working experience in a financial services, public health, health, or related industry such as insurance. In lieu of degree, two years of demonstrated excellence working in a financial services, public health, health, or related industry such as banking or 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 Qualifications: Bilingual in English and Spanish. Billing Experience, Accounts Receivable, Banking Hospital Patient Access/Registration experience, Familiarity with medical insurance benefits, Bed Control Management, 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 and cover letter 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 5 panel drug screen*
Successfully complete a Background Check investigation.
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)632-6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here .
Salary: $42,000 (plus any applicable location, shift, and/or inconvenience pay)
Salary Grade: SL1
Internal Number: 2003182
About Stony Brook University
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.