Patient Access Representative - Emergency Room (Days, 11a - 7p)
About The Position
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 skills, 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 assigned to the Emergency Room, Registration Services is a key member of the Patient Access Services team. The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors. The Representative adheres to strict rules of confidentiality, department, and organization's policies and procedures.
Requirements
- Associate's Degree with one year of working experience in a customer service, public health, healthcare, or related industry such as insurance.
- In lieu of degree, In lieu of degree, 2 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.
- Must be able to maneuver a workstation on wheels through patients' rooms within the designated registration area.
- Communicate in a professional manner with patients and patient families experiencing serious health issues and emotional events.
Nice To Haves
- Bilingual in English and Spanish.
- Health care insurance billing and/or hospital patient access, intake, registration experience.
- Familiarity with medical insurance benefits, demonstrated experience with EMR computerized registration, financial, IT systems.
- Knowledge of medical terminology.
- Previous experience as a patient access representative in an Emergency Room environment is highly preferred.
Responsibilities
- Supports activities to ensure excellence in throughput and patient experience for emergency room visits, admissions, observation and transfer patients in the Emergency room or as part of the multidisciplinary team in the CTO office.
- Completes high-volume complex bedside patient registration.
- Completes pre-arrival, pre-registrations and registrations using various computer systems for all inter and intra-facility transfers in accordance with prescribed workflows.
- Must be able to maneuver a workstation on wheels through patients' rooms within the designated registration area.
- Communicates in a professional manner with patients and patient families experiencing serious health issues and emotional events.
- Responsible for securing required patient demographic information, correct documentation of admission source, mode of arrival, patient type and insurance coverage to support billing and revenue cycle goals.
- Verifies coverage eligibility and determines patient cost share (co-pay) using electronic systems and other means, taking payments at point of service.
- Provides financial guidance and excellence in Financial Care to patients and their representatives, presenting information about their benefit coverage and cost share responsibilities. Provides information on financial assistance services to self-pay patients, collecting required deposits when appropriate.
- Ensures that compliance regulations are met (presenting and obtaining consent and regulatory signatures from patients or designee, essential for treatment and payment, as per procedure).
- Maintains and requires appropriate documents as necessary (i.e. copies of photo ID and insurance documents etc.). Witnesses general consents, agreements, and acknowledgements.
- Reviews registrations for completeness and correctness. Utilizes worklists to conduct incomplete registration, verification or ineligible insurance follow up. Uses available enterprise resources to ensure encounters are bill ready.
- Ability to manage adjustments in workflow priorities in response to changing patient census and acuity.
Benefits
- Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Educational Services
Education Level
Associate degree
