Patient Access Rep

Patient Access Representative - Emergency RoomPosition Summary: At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial Screening and Verification, and 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. The Patient Access Representative assigned to the Emergency Room / Registration Services is a key member of the Patient Access Services team. The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors. The Representative adheres to strict rules of confidentiality, department, and organization's policies and procedures.Duties may include the following, but are not limited to: Supports activities to ensure excellence in throughput and patient experience for emergency room visits, admissions, observation and transfer patients in the Emergency room or as part of the multidisciplinary team in the CTO office. Complete high-volume complex bedside patient registration. Complete pre-arrival, pre-registrations and registrations using various computer systems for all inter and intra-facility transfers in accordance with prescribed workflows. Must be able to maneuver a work station on wheels through patients' rooms within the designated registration area. Communicate in a professional manner with patients and patient families experiencing serious health issues and emotional events. Responsible for securing required patient demographic information, correct documentation of admission source, mode of arrival, patient type and insurance coverage to support billing and revenue cycle goals. Verifies coverage eligibility and determines patient cost share (co-pay) using electronic systems and other means, taking payments at point of service. 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. Ensures that compliance regulations are met (presenting and obtaining consent 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. Reviews registrations for completeness and correctness. Utilizes worklists to conduct incomplete registration, verification or ineligible insurance follow up. Uses available enterprise resources to ensure encounters are bill ready. Ability to manage adjustments in workflow priorities in response to changing patient census and acuity.Qualifications - Required Qualifications: Associate's Degree with one year working experience in a customer service, public health, healthcare, or related industry such as insurance. In lieu of degree, 2 years' of demonstrated excellence working in a customer service / call center, healthcare, or other related industry requiring skills which demonstrate experience in payment collection, insurance reimbursement, or access services. Must be able to maneuver a workstation on wheels through patients' rooms within the designated registration area. Communicate in a professional manner with patients and patient families experiencing serious health issues and emotional events. Preferred: Bilingual in English and Spanish. Health care insurance billing and/or hospital patient access, intake, 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 in an Emergency Room environment is highly preferred.Special Notes: Resume/CV 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 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. 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 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 View phone number on click.appcast.io. In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here. Visit our WHY WORK HERE page to learn about the total rewards we offer. Stony Brook University 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.