Patient Financial Experience Specialist

Patient Financial Experience Specialist

At Stony Brook Medicine, a Patient Financial Experience Specialist will support the patient financial experience from within the hospital's Patient Financial Services Department. The position will support day-to-day business functions impacting customer service, patient billing and collections and financial assistance. Duties of a Patient Financial Experience Specialist may include the following, but are not limited to:

• Provides excellent customer service to all patients and physician offices
• Educates and screens patients for participation in the Hospital's Financial Assistance program
• Processes and approves Financial Assistance applications
• Investigaes and accurately updates insurance coordination of benefits (COB), including refund request letters, reports, mail, etc.
• Processes patient payments, sets up auto pay payments and/or corrects payment information
• Identifies issues and patterns on accounts within our financial system
• Assists in staff training and makes recommendations to improve policy and procedures for the unit and the office
• Verifies and updates insurance plans. Liaises with third party billing and collection agencies.

Other duties, as assigned

Required Qualifications Bachelor's degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; or in lieu of a Bachelor's degree, an Associate's degree and at least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; or in lieu of a degree, at least 2 years of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience.

Preferred Qualifications Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. Knowledge of third-party payer reimbursement and managed care contracts. Experience in utilizing insurance websites to check for eligibility and claim status. Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims. Knowledge of CPT, HCPCs and ICD-10 coding principles. Experience with Cerner Invision and/or Cerner Millennium Patient Accounting Experience in Insurance Verification.

Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

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.

Anticipated Pay Range: The salary range (or hiring range) for this position is $50,677 - $60,564 / year. The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired. Some positions offer annual supplemental pay such as: Location pay for UUP full-time positions ($4,000). Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.