Patient Access Services, Associate - Radiology Registration

Stony Brook UniversityEast Hampton, NY
14h

About The Position

Stony Brook Southampton Hospital's Patient Access Services in a hospital setting encompasses many different roles and responsibilities. It is one of the most important and concentrated areas in healthcare. We are responsible for the delivery of the critical components of the revenue cycle, as well as keeping the hospital compliant with the many regulatory agencies, maintaining patient safety through correct patient identification practices and providing extraordinary customer service skills in situations that are often difficult. POSITION SUMMARY: The Patient Access Services Radiology Registration Associate is responsible for ensuring that all patients referred for radiology 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/or contractual mandates.

Requirements

  • 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.

Nice To Haves

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

Responsibilities

  • Performs scheduling & registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry.
  • Verifies patient's prescription, diagnosis, referring provider, and services based on facility and patient's availability.
  • Conducts patient interviews as part of the scheduling/registration procedure where they gather and confirm patient demographic details, insurance data, and financial obligations.
  • Explains the content of all required forms and obtains signatures as appropriate.
  • Collects 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 is 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 the 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 to 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.
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