Patient Access Services, Associate - Breast Center

Stony Brook University•Town of Brookhaven, NY

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 Breast Center Surgeon Associate is responsible for ensuring that all patients referred for Breast Center services are scheduled and registered in a timely manner based on departmental procedures. Conducts scheduling and registration functions according to departmental policy and procedure. 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 staff, non-clinical staff, and other professional staff to assist in an efficacious process flow and to ensure adherence to regulatory and 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, or 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 and 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.
Assists the clinical staff in patient chart prep for upcoming appointments as in obtaining and scanning imagining, pathology reports, HemOnc/RadOnc progress notes, etc.
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 and department are 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 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.
Keeps current with departmental and hospital training requirements, including the completion of annual refresher courses.
Performs other department specific duties as deemed appropriate by Patient Access leadership.