Patient Access Representative - Emergency Room (Days 7a-3p)

Stony Brook University•Town of Brookhaven, NY
•Onsite

About The Position

The Patient Access Representative assigned to the Emergency Room, Registration Services, supports the Revenue Cycle, Compliance, and Patient Experience by accurately and efficiently handling registration, financial screening and verification, and patient-throughput activities. The representative works as part of the Patient Access Services team, interacting professionally and respectfully with patients, visitors, families, and internal customers while maintaining confidentiality and following department and organizational policies and procedures. The role supports emergency room visits, admissions, observation patients, and transfers, including high-volume, complex bedside registration. It uses various computer systems and prescribed workflows for pre-arrivals, pre-registrations, registrations, and inter- and intra-facility transfers. The representative gathers and documents demographic, admission, arrival, patient-type, and insurance information; verifies insurance eligibility and patient cost share; collects payments; and explains benefits, financial responsibilities, and available financial assistance. The role also obtains required consents and regulatory signatures, maintains supporting documentation, reviews registrations for completeness, and follows up on incomplete or ineligible registrations and insurance verification so encounters are ready for billing. The representative must be able to maneuver a workstation on wheels through patient rooms in the designated registration area and communicate sensitively with patients and families facing serious health issues or emotional events. Workflow priorities may change according to patient census and acuity. This is an essential hospital position and may require reporting to or remaining at work during institutional emergencies. The schedule is days, 7 a.m.–3 p.m.; some holidays are required, weekend availability is required, pass days are variable, and schedules or pass days may change.

Requirements

  • Associate’s degree and one year of work experience in customer service, public health, healthcare, insurance, or a related industry.
  • In lieu of the degree, two years of demonstrated excellence in customer service, a call center, healthcare, or another related industry requiring skills and experience in payment collection, insurance reimbursement, or access services.
  • Ability to maneuver a workstation on wheels through patient rooms within the designated registration area.
  • Ability to communicate professionally with patients and families experiencing serious health issues and emotional events.
  • Verification of degree, such as a diploma or official transcript, must be included with the application.
  • Resume/CV must be included with the online application.
  • Successful completion of a pre-employment physical examination and medical clearance from Stony Brook Medicine Employee Health Services.
  • Completion of an electronic reference check with at least three professional references.
  • Successful completion of a four-panel drug screen and required regulatory pre-employment screenings.
  • Provide copies of any required New York State licenses or certificates.

Nice To Haves

  • Bilingual in English and Spanish.
  • Healthcare insurance billing and/or hospital patient access, intake, or registration experience.
  • Familiarity with medical insurance benefits and demonstrated experience with EMR computerized registration, financial, or IT systems.
  • Knowledge of medical terminology.
  • Previous experience as a patient access representative in an emergency room environment is highly preferred.

Responsibilities

  • Support patient throughput and patient experience for emergency room visits, admissions, observation patients, and transfers, including work with the multidisciplinary team in the CTO office.
  • Complete high-volume, complex bedside patient registration.
  • Complete pre-arrivals, pre-registrations, and registrations in various computer systems for inter- and intra-facility transfers according to prescribed workflows.
  • Maneuver a workstation on wheels through patients’ rooms within the designated registration area.
  • Communicate professionally and sensitively with patients and families experiencing serious health issues and emotional events.
  • Obtain demographic information and document admission source, mode of arrival, patient type, and insurance coverage accurately to support billing and revenue-cycle goals.
  • Verify coverage eligibility and determine patient cost share using electronic systems and other means; collect point-of-service payments.
  • Provide financial guidance about benefit coverage and cost-share responsibilities, explain financial assistance services to self-pay patients, and collect required deposits when appropriate.
  • Present and obtain required consents and regulatory signatures for treatment and payment in accordance with procedures.
  • Maintain required documentation, including copies of photo identification and insurance documents; witness general consents, agreements, and acknowledgements.
  • Review registrations for completeness and correctness; use worklists to follow up on incomplete registrations, verification, or ineligible insurance; use enterprise resources to ensure encounters are bill ready.
  • Adjust workflow priorities in response to changing patient census and acuity.
  • Work some holidays and maintain weekend availability; report to or remain at the work location during institutional emergencies when required.

Benefits

  • Comprehensive benefits, including generous leave and health insurance.
  • Participation in the state pension system.
  • Some positions may include annual supplemental pay such as location pay for UUP full-time positions.
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