Patient Access Services, Specialist - EMT (East Hampton ER, Per Diem)

Patient Access Services, Specialist - EMT (East Hampton ER, Per Diem)

Stony Brook Southampton Hospital's Patient Access Services in a hospital setting encompasses many different roles and responsibilities. It is one of the most important and concentrated areas in healthcare. We are responsible for the delivery of the critical components of the revenue cycle, as well as keeping the hospital compliant with the many regulatory agencies, maintaining patient safety through correct patient identification practices and providing extraordinary customer service skills in situations that are often difficult.

Position Summary:

The Patient Access Services Emergency Department (ER) Registration Specialist will be using EMT knowledge and training to conduct a screening during quick registration and communicate acuity with clinical staff for all emergency visits. Completes registrations according to departmental policy and procedure. 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:

Performs registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry. Conducts patient interviews as part of the registration procedure, where they gather and confirm patient demographic details, insurance data, and financial obligations. Conducts initial visual assessments of patients as they come through the front door. Communicates observation promptly to the medical staff for further evaluation. Documents all necessary health information for treatments and procedures. Explains the content of all required forms and obtains signatures as appropriate. Reviews, assesses and evaluates patient registrations to ensure the accuracy of demographic and financial information. Collects co-payment, deductible, and co-insurance amounts according to the patient's health insurance plan and contractual agreement. Refers self-pay patient to financial aid, self-pay representative. Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact. Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts. Demonstrates ability to utilize data retrieval insurance eligibility systems. Manages RQA reports by resolving errors and producing corrected accounts. 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 to hospital policies and HIPPA requirements. Complies with departmental dress code and maintains a neat appearance. Performs other department-specific duties as deemed appropriate by Patient Access leadership.

Required Experience and Qualifications:

Associate's degree. OR, in lieu of degree, High School Diploma/GED and two (2) years' combined experience in Revenue Cycle, Medical Office, or Business Office required. Current NYS DOH EMT certification and must meet the criteria for NYS DOH Functional Description for qualifications, competencies, and tasks (EMT, BLS, DLD). Strong communication, interpersonal, and multitasking skills required. Computer literacy and customer service skills required. Must be able to multitask in high-stress fast-paced environment required. Must possess quantitative analytical skills and computer savviness including Microsoft Office, Word, Excel, and PowerPoint.

Preferred Experience and Qualifications:

CPT, ICD-10, and medical terminology experience. ICS / NIMS Training strongly preferred. Knowledge of health insurance to help assisting patients in understanding medical insurance benefits preferred. Demonstrates exceptional attention to detail and accuracy in all tasks, ensuring high-quality results and minimizing errors strongly preferred. Capable of working independently with minimal supervision, demonstrating strong self-motivation and initiative with strong time management skills to meet deadlines.

Physical Demands:

Prolonged periods of standing, walking, and sitting. 12.5 hour shift. Must be able to lift up to 25 pounds. Commuting to hospital and offsite facilities required. Exposure to various illnesses and diseases. As part of employment at Southampton Hospital, there may be occasions when travel to other locations is needed to support operational needs.