Patient Access Services, Associate - Pre-Services

Position Summary

The Patient Access Services Pre-Services Associate is responsible for ensuring that all patients referred for outpatient services are scheduled and registered in a timely manner based on departmental procedures. Keeps abreast of current insurance regulations and handles administrative support functions related to all departments under the division of Patient Access Services. Collaborates with nursing, non-clinical, and other professional staff to assist in an efficacious process flow and to ensure adherence to regulatory and contractual mandates.

Responsibilities

• Performs scheduling and 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 and registration procedure, where they gather and confirm patient demographic details, insurance data, and financial obligations.
• Verifies patient's prescription, diagnosis, referring provider and schedules services based on facility and patient's availability.
• Explains the content of all required forms and obtains signatures as appropriate.
• Collections co-payment, deductible, and co-insurance amounts according to patient's health insurance plan and contractual agreement.
• Refers patients to financial aid, self-pay representative.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• Collaborates with other departments to ensure the needs of the patient and department are met.
• 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.
• Reviews, assesses, and evaluates patient registrations to ensure accuracy of demographic and financial information.
• Manages RQA reports by resolving errors and producing corrected accounts.
• 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.
• Performs other department specific duties as deemed appropriate by Patient Access Leadership.

Required Experience And Qualifications

• An Associate's degree. In lieu of degree, High School Diploma/GED and two (2) years’ combined experience in Revenue Cycle, Medical Office, Business Office required.
• Strong communication, interpersonal, and multitasking skills required.
• Computer literacy and customer service skills required.

Preferred Experience And Qualifications

• Knowledge of health insurance to help assisting patients in understanding medical insurance benefits preferred.
• CPT, ICD-10, and medical terminology experience preferred.

Physical Demands

• Prolonged periods of standing, walking, and sitting.
• 12.5 hour shift.
• Must be able to lift up to 25 pounds.
• Commuting to hospital and offsite facilities required.
• May be exposed to various illnesses and diseases.

Special Notes

• Resume/CV should be included with the online application.
• S 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.

Anticipated Pay 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. Your total compensation goes beyond the number in your paycheck!

Company Overview

Stony Brook Southampton Hospital as part of Stony Brook Medicine provides direct access to the highest level of academic-based medical care. Located in the heart of the village of Southampton, two hours from New York City, the hospital provides healthcare services to a diverse community of year-round residents, second homeowners and vacationers. The population, about 75,000 in the winter months, increases sharply to more than 300,000 in the summer. Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by Newsday among large employers (defined as having 500+ employees).