Patient Access Services, Associate - Cancer Services

Patient Access Services, Associate - Cancer Services

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 Cancer Services Associate is responsible for ensuring all patients are registered in accordance 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.

Job Duties & Essential Functions

Performs scheduling/registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry. Conducts patient interviews as part of the scheduling/registration procedure, where they gather and confirm patient demographic details, insurance data, and financial obligations. Verifies patient information as part of the scheduling/registration procedure, where they gather and confirm patient demographic details, insurance data, and financial obligations. 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 patient's health insurance plan and contractual agreement. Refers self-pay patient to financial aid/self-pay representative. Determines the nature of inquiries and provides general information. Provides external connections for staff and answer internal queries directed to the switchboard. 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 a 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 HIPAA 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

A minimum of an Associate's degree. Or in lieu of degree, High School Diploma/GED and 2 years' combined experience in Revenue Cycle, or in a Medical office, or Business office. Strong communication, interpersonal, and multitasking skills. Computer literacy and customer service skills.

Preferred Experience and Qualifications

Knowledge of health insurance to help assisting patients in understanding medical insurance benefits. CPT, ICD-10, and medical terminology experience.

Physical Demands

Prolonged periods of standing, sitting and walking. Must be able to lift up to 25 pounds. Commuting to hospital and offsite facilities required. Exposure to various illnesses and diseases.

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.