Patient Access Services, Associate - Ambulatory Services

Job Summary Stony Brook Southampton Hospital's Patient Access Services in a hospital setting includes many different roles and responsibilities. It is one of the most important and concentrated areas in healthcare. The Ambulatory Services Associate is responsible for ensuring all patients are registered in accordance with departmental policy and procedure, keeping abreast of current insurance regulations and handling administrative support functions related to all departments under the division of Patient Access Services. The role collaborates with nursing staff, non‑clinical staff, and other professional staff to assist in an efficient process flow and to ensure adherence to regulatory and contractual mandates. Responsibilities Supports 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’s prescription, diagnosis, referring provider and services based on facility and patient’s availability. Explains the content of all required forms and obtains signatures as appropriate. Reviews, assesses and evaluates patient registrations to ensure 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. 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 with hospital policies and HIPAA requirements. Complies with departmental dress code and maintains a neat appearance. Keeps current with departmental and hospital training requirements, including the completion of annual refresher courses. Performs other department specific duties as deemed appropriate by Patient Access leadership. Required Education & Experience High School Diploma/GED and two (2) years of combined experience in Revenue Cycle, Medical Office, or Business Office are required. Strong communication, interpersonal, and multitasking skills are required. Computer literacy and customer service skills are required. Preferred Experience and Qualifications Knowledge of health insurance to help patients understand medical insurance benefits is preferred. CPT, ICD‑10, and medical terminology experience is preferred. Physical Demands Prolonged periods of standing, sitting, and walking. Must be able to lift up to 25 pounds. Commuting to hospital and offsite facilities is required. Exposure to various illnesses and diseases. Special Notes 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 wearing facial hair. This function/position may be designated as “essential.” In an institutional emergency, employees in such positions may be required to remain at their work location or report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Salary Range The starting salary range (or hiring range) for this position has been established based on relevant experience. The above salary range (or hiring range) represents SBSH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. Pre‑Employment Requirements Successfully complete a pre‑employment physical examination and obtain medical clearance from Stony Brook Southampton Hospital’s Employee Health Services. Complete an 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. EEO Statement 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. #J-18808-Ljbffr Stony Brook University