Patient Access Representative - Emergency Room, Days Shift (11a - 7p)

At Stony Brook Medicine, our Patient Access Representatives complete varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently performing tasks in areas of Registration, Financial Screening and Verification, and patient throughput.

About the role

The Patient Access Representative assigned to the Emergency Room / Registration Services is a key member of the Patient Access Services team. They interact in a professional, respectful manner with internal and external customers, provide excellent customer service to patients and visitors, and adhere to strict rules of confidentiality, department, and organization’s policies and procedures.

Responsibilities

• 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.
• Completes high-volume complex bedside patient registration.
• Completes pre-arrival, pre-registrations and registrations using various computer systems for all inter and intra-facility transfers in accordance with prescribed workflows.
• Maneuvers a work station on wheels through patients’ rooms within the designated registration area.
• Communicates in a professional manner with patients and patient families experiencing serious health issues and emotional events.
• Secures 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 (e.g., copies of photo ID and insurance documents).
• 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.
• Manages adjustments in workflow priorities in response to changing patient census and acuity.

Requirements

• 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.
• Ability to maneuver a workstation on wheels through patients’ rooms within the designated registration area.
• Ability to communicate in a professional manner with patients and patient families experiencing serious health issues and emotional events.
• Must be available to work some holidays, variable pass days, and weekends. The schedule/pass days may be subject to change.

Qualifications

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.

Special Notes

• This position is designated as “essential,” meaning employees may be required to remain at their work location or report to work during institutional emergencies (e.g., staff shortages, increased census, inclement weather).
• Prior to the start date, the selected candidate must:
  • Successfully complete a pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services.
  • Complete an electronic reference check with a minimum of three 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 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.

Pay

The salary range for this position is $54,175 - $60,010 per year. The specific salary offer will be based on the candidate’s validated years of comparable experience. This position also offers annual supplemental location pay of $4,000 for full-time positions.

Benefits

Stony Brook Medicine provides generous leave, health plans, and a state pension that add to your total compensation package.

Schedule

This is a full-time position. The selected candidate will be required to work some holidays, variable pass days, and weekends. The schedule/pass days may be subject to change.