Patient Financial Experience Specialist

About the Role

At Stony Brook Medicine, a Patient Financial Experience Specialist supports the patient financial experience within the hospital’s Patient Financial Services Department. This position handles day-to-day business functions impacting customer service, patient billing and collections, and financial assistance.

Responsibilities

• 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.
• Investigates and accurately updates insurance coordination of benefits (COB), including refund request letters, reports, and mail.
• Processes patient payments, sets up auto pay payments, and/or corrects payment information.
• Identifies issues and patterns on accounts within the 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.
• Performs other duties as assigned.

Requirements

• Bachelor’s degree in Accounting, Business, Health Information Management, or related field with a minimum of 6 months of business experience, preferably in a healthcare setting; or
• 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.
• Verification of degree (e.g., diploma or official transcript) is required for this role.

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 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.

Special Notes

• This position may remain posted until filled or for a maximum of 90 days. An initial review of applicants will occur two weeks from the posting date.
• Candidates are advised that for full consideration, applications must be received before the initial review date.
• If no candidate is selected within the initial review, additional applications will be considered until a finalist is identified, at which point the posting will close.
• Stony Brook Medicine is a smoke-free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This position may be designated as “essential,” requiring employees to remain at work or report to work during institutional emergencies.

Pre-Employment Requirements

• 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).

Pay

The anticipated salary range for this position is $50,677 - $60,564 per year. The specific salary offer will be based on the candidate’s validated years of comparable experience. Some positions offer annual supplemental pay, such as location pay for UUP full-time positions ($4,000).

Schedule

Full-time.

Benefits

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