Patient Access Representative, Financial Clearance

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate, EEO, etc. Must preserve all substantive info. We need to parse the posting. Key sections: - Position Summary (maybe "About the role"): The first paragraph describing role. - Duties: list of duties (the bullet list after "Duties of a Patient Access Financial Clearance Representative may include but, are not limited to the following:"). - Qualifications: Required qualifications (including degree/experience, etc.) - Preferred Qualifications: Preferred Quals. - Skills: maybe we can extract skills from qualifications (like strong background in medical insurance verification, etc.) but we can put them under Skills if appropriate. - Pay: Anticipated Pay Range: $54,175 - $61,010 / year. Also mention supplemental pay: Location pay for UUP for full-time positions ($4,000). Also mention benefits: "SBUH provides generous leave, health plans, and a state pension". So we can include Benefits section. - Schedule: "Full-time". Also mention "The selected candidate will be required to work some holidays." Also maybe shift info: "All Hospital positions may be subject to changes in pass days and shifts as necessary." Also mention "This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair." That's more about requirements but could be in Qualifications? Might be considered as part of job requirements. But we can include under Requirements or maybe a separate "Work Conditions". However only allowed headings are the given list; we can put such info under Requirements or Responsibilities. We must not create sections with filler like "commensurate with experience". Pay and Schedule we have real content, so include. Benefits: we have "SBUH provides generous leave, health plans, and a state pension that add to your bottom line." Also mention "Your total compensation goes beyond the number in your paycheck." Also mention "Some positions offer annual supplemental pay such as: Location pay for UUP for full-time positions ($4,000)." That could be under Benefits or Pay. We'll put under Benefits. We must not include boilerplate like EEO, smoke free, etc. Also remove "Posting Overview", "Special Notes", etc unless they contain substantive info like posting dates? Those are metadata; we can drop as per instruction: do NOT put Job ID/requisition numbers as headings — fold minor metadata into a short

or drop it. Posting Overview includes posting dates etc; we could drop or include as a short paragraph maybe under a generic "About the role"? But instruction: "Prefer a few substantive sections over many thin ones." Likely we can drop posting overview as it's not substantive to job duties. Also drop "Special Notes" about resume etc (application instructions) - drop. Drop "Stony Brook Medicine is a smoke free environment." etc. Drop EEO statement. Drop "Prior to start date..." etc (pre-employment requirements) maybe could be under Qualifications? It's about hiring process; could be considered part of Requirements? Might be considered minor metadata; but it's substantive about conditions of employment. Could be included under Requirements as bullet? But we have limited headings; we could include under Requirements as a paragraph. We need to preserve ALL substantive information; do not invent or summarize away detail. So we must keep the info about pre-employment physical, drug screen, references, license, etc. That's substantive. So we need to include that somewhere. Could be under Requirements (maybe as a list). Or we could create a separate section "Requirements" and include both qualifications and pre-employment requirements. Similarly, "All Hospital positions may be subject to changes in pass days and shifts as necessary." That's about schedule; could be under Schedule. "This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair." That's a requirement; could be under Requirements. "This function/position may be designated as “essential.” ..." That's also a requirement; could be under Requirements. We need to avoid duplication. Let's structure:

About the role

Position Summary ... (the first paragraph up to "Supports the registration areas with financial services expertise." maybe also include the sentence about Patient Access Representatives responsibilities.) Better to capture the whole Position Summary paragraph(s). The text: "Position Summary The Patient Access Representative, Financial Clearance, supporting pre-registration services located in Commack, NY, is a key member of the Patient Access Services team. Acts as quality control for inpatient elective accounts, outpatient surgeries and ancillary hospital services, ensuring all pertinent demographic and insurance information is identified and accurately documented, supporting timely and efficient billing. Secures financial clearance through insurance verification, and authorization/referral validation. Communicates with multiple clinical and operational departments, ensuring documentation of third-party review registrations are complete and meet financial clearance criteria prior to service. Supports the registration areas with financial services expertise. 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 and 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." We'll put that in

. Then

Responsibilities

with

• list of duties. We need to extract each duty from the long sentence after "Duties of a Patient Access Financial Clearance Representative may include but, are not limited to the following:" Then each duty separated by periods? Let's list: - Follows policy and procedure in regard to financial screening, investigation, referral authorization requirements and patient cost sharing for all scheduled hospital elective services. - Verifies and assures all insurance coverage is active and confirms eligibility and benefits for specific service, validates proper authorization is secured for appropriate procedure, diagnoses and service location. - Clearly documents notes regarding financial clearance process. - Serves as support to patients and their family members to assure patients have access to all available financial assistance resources. - Maintains daily contact with Utilization Management, Business office, patient registration, ancillary departments as well as physician offices to ensure all registration information is accurate and financial clearance requirements are met prior to scheduled elective services. - Contacts referring/ordering provider in a timely manner to initiate or complete payor requirements to secure authorization approval prior to scheduled procedure. - Utilizes computer systems/software used by the registration/scheduling department and maintains competence in policy benefit and nuisances, actively utilizes insurance web sites and other communication with insurers as required to ensure payment and patient financial care. - Provides financial guidance and excellence in Financial Care to patients and their representatives by providing information about their health care insurance coverage and cost share responsibilities. - Ensures compliance with HIPAA regulations, payor guidelines and healthcare industry standards. - Utilizing various work lists, monitor and ensure registration workflow and financial clearance process is complete within prescribed time frames. - Demonstrates a positive organizational attitude and commitment to patient experience. - Maintains respectful and compassionate demeanor and provides high-quality patient centered care. We'll put each as
• . Then

  Qualifications

  maybe combine Required and Preferred? Could separate into Required Qualifications and Preferred Qualifications but only allowed headings: Qualifications, Skills, Benefits, Pay, Schedule. We could put Required under Qualifications, Preferred under Skills? Or we could put both under Qualifications with subheadings? But we cannot add extra headings beyond those; but we could include paragraphs inside Qualifications that differentiate. Better: Use

  Qualifications

  for Required qualifications, and

  Skills

  for Preferred qualifications and skill statements. However the instruction says use those headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It lists "Requirements" as an option, not "Qualifications". Actually list includes Requirements as possible heading. So we could use Requirements for required qualifications, Skills for preferred qualifications/skills, Qualifications maybe for degree/experience? But we need to follow instruction: use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose any of those. We need to include sections only when posting has real specific content. We have content for: About the role (position summary), Responsibilities (duties), Requirements (maybe required qualifications + pre-employment etc), Qualifications (maybe degree/experience?), Skills (maybe specific skills like insurance verification, EHR, coding), Benefits, Pay, Schedule. We need to avoid thin sections. Let's decide: - About the role: position summary paragraph. - Responsibilities: duties list. - Requirements: required qualifications (degree/experience) plus pre-employment requirements (physical, drug screen, references, license, essential position, respiratory protection, shift changes, holidays). Could be a mix. - Qualifications: maybe we could combine with Requirements; but to avoid thin, we could put all under Requirements and skip Qualifications. However we have also Preferred Quals and skill statements; those could go under Skills. - Skills: preferred qualifications and skill statements (strong background in medical insurance verification, benefits investigation, authorization management; extensive knowledge of commercial insurance, Medicare, Medicaid, managed care, workers' comp, govt-funded; skilled in interpreting insurance benefits, medical necessity, payer-specific policies; experience with EHR, practice management software, insurance portals; knowledge of CPT, ICD-10, HCPCS coding; excellent analytical, organizational, customer service skills; ability to manage high-volume workloads while maintaining accuracy; proven ability to resolve complex insurance issues, reduce authorization turnaround times, improve reimbursement outcomes; billing experience and understanding of Accounts Receivables; previous experience as a Patient Access Representative in a medical center or hospital preferred.) - Benefits: SBUH provides generous leave, health plans, and a state pension; supplemental location pay $4,000 for UUP full-time; total compensation beyond paycheck. - Pay: Anticipated Pay Range $54,175 - $61,010 / year. - Schedule: Full-time; may require working some holidays; subject to changes in pass days and shifts as necessary. We must not include filler like "commensurate with experience". Not present. Now we need to ensure we don't repeat job title as heading. We'll not. We must not include Job ID etc. We must not include boilerplate: EEO, smoke free, etc. Remove. We must preserve all substantive info: we need to include the pre-employment requirements: "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." Also "All Hospital positions may be subject to changes in pass days and shifts as necessary." and "This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair." and "This function/position may be designated as “essential.” ..." Also "The selected candidate will be required to work some holidays." We need to include those under Requirements maybe as bullet list. Now we need to ensure we don't duplicate content: The responsibilities list already includes some items like ensuring compliance with HIPAA etc. That's fine. Now produce HTML. We'll wrap sections in

  and then

  or

  • . Make sure to close tags