
Patient Access Representative, Outpatient Admitting (Days)
- Stony Brook, NY
- $49,139 per year
- Permanent
- Full-time
- 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.
- Associate's Degree with one year working experience in public health or related industry such as insurance.
- 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).
- 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.
- 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 may be 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 may be 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.
- 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).
- Location pay for UUP full-time positions ($4,000).