Patient Access Representative - Outpatient Admitting Registration

Position 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 Hospital Outpatient, Admitting office 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 organizational policies and procedures.

Duties of a Patient Access Representative may include the following, but are not limited to:

• Participates in activities to ensure excellence in throughput for ambulatory patients. This will include ambulatory surgery, same day admissions, and hospital outpatient procedures.
• Responsible for ensuring correct coding of patient types, medical services, and verification of authorizations to support clean billing and revenue cycle goals.
• Determines eligibility and patient cost share (co-pay / deposit etc.) using electronic systems and other means, taking payments at point of service.
• Ensures that compliance regulations are met (presenting and securing consents 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.
• 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.
• Instructs practices on issues related to insurance verification of authorizations and referrals. Reviews registrations for completeness and correctness, supports the registration areas with financial services expertise.
• Collect co-pays, deposits and deductibles at time of registration and admission.
• Assists with other registration tasks as assigned.

The selected candidate will be required to work some holidays and will be scheduled to work every weekend. The schedule/pass days are subject to change.

Essential Position: This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency (staff shortages, increased census, inclement weather, and/or other emergencies), 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.

Qualifications

Required: 

• Associate's Degree with one year working experience in public health or related industry such as insurance.  
  In lieu of degree, two years of demonstrated excellence working in public health or related industry such as insurance or other related industry requiring similar skills, which demonstrates comparable complex skill experience in payment collection, insurance reimbursement, access services etc. 

• Demonstrated excellence in verbal and written communication, computing and multi-tasking skills. 

• Candidate must demonstrate experience and expertise in speaking with customers and can work well with persons who are under stress (such as sick patients and their distressed family members).

Preferred: 

• Bilingual in English and Spanish. Billing Experience, hospital patient access/registration experience, famil