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 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.

The Patient Access Representative in our Call Center/Pre-Registration location in Commack, NY is a key member of the Patient Access Services team, responsible for accurately and efficiently initiating and receiving patient calls to schedule and/or preregister hospital outpatient services and surgical procedures while providing the highest level of customer service. The Call Center Registrar secures financial clearance through insurance verification, authorization/referral validation, and POS collections. Reviews registrations for completeness and correctness; and supports the registration areas with financial services expertise.

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

• Ensure balanced and appropriate scheduling of complex, high volume appointments for multi-specialties in Cerner / EWS scheduling system.
• Obtain complete and accurate patient demographic and insurance information, ensuring data is current and coverage verified to sufficiently meet requirements to generate a "clean" bill.
• Responsible to complete thorough data assessment of all required patient information through interview and other methods to support goals of patient safety and registration integrity during the pre-registration process.
• 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. Provide self-pay patients with information on qualifications for Medicaid or financial assistance.
• Support POS collections by securing co-payments, deposits and/or deductibles at time of pre-registration.
• Utilizing various worklists, 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.
• The selected candidate will be required to work some holidays.

Qualifications

Required: 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, two 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. 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, Accounts Receivable or Customer Service / Call Center experience. Familiarity with medical insurance benefits, demonstrated through experience with EMR computerized registration / Financial / IT systems. Knowledge of medical terminology. Previous experience as a patient access representative at a Medical Center is preferred.