Patient Access Services, Coordinator - Angio PET CT Interventional Radiology

Stony Brook University•Southampton, NY

1d•Onsite

About The Position

The Angio, PET, CT, Interventional Radiology Coordinator at Stony Brook Southampton Hospital's Patient Access Services is responsible for securing timely authorization of elective and emergent services. This role involves cross-departmental cooperation and collaboration with physician offices to ensure completeness in scheduling, registration, pre-certification, and obtaining clinical documentation. The coordinator aids in proper reimbursement, provides high-quality customer service to patients and colleagues, and is responsible for maintaining and improving the patient experience. The position requires staying abreast of current insurance regulations and handling administrative support functions for all departments under Patient Access Services, collaborating with nursing, non-clinical, and other professional staff to ensure efficient process flow and adherence to regulatory and contractual mandates.

Requirements

Associate’s degree required.
Four (4) years’ experience in Healthcare or Revenue Cycle, or a Business Office required.
Two (2) years' Patient Access experience required.
One (1) year insurance verification and authorization experience required.
Customer service and support skills required.
Strong communication, interpersonal, and multitasking skills required.
CPT, ICD-10, and medical terminology experience required.
Must possess quantitative analytical skills and computer savviness including Microsoft Office, Word, Excel, and PowerPoint, including knowledge of external provider web portals.
Demonstrates exceptional attention to detail and accuracy in all tasks, ensuring high-quality results and minimizing errors.
Must be able to multitask in a high stress fast-paced environment.
Capable of working independently with minimal supervision, demonstrating strong self-motivation and initiative with strong time management skills to meet deadlines.
Possesses comprehensive knowledge to help in assisting patients in understanding medical insurance benefits.

Nice To Haves

Financial Aid, Medicaid or Financial Coordinator knowledge is strongly preferred.
Billing experience, strongly preferred.

Responsibilities

Coordinates the flow of overall functions of the Patient Access Services Office.
Performs scheduling and registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry.
Assists clinical and marketing teams for departmental promotions.
Works across departmental teams to maintain workflow efficiencies.
Verifies insurance eligibility of all insured and self-pay patients.
Performs new patient intake process and coordinating add-on services.
Prepares unique and recurring reports as needed and assigned.
Obtains and verifies authorization and notification for elective and emergent services via insurance payer website, facsimile, or phone.
Reviews, assesses, and evaluates patient registrations to ensure accuracy of demographic/financial information.
Stays abreast of changing third party payer criteria to aid in revenue capture and initiatives as it relates to the hospital financial policy.
Collaborates with physician offices and third-party payers concerning authorizations and eligibility.
Verifies and collects co-payment, deductible, co-insurance, and out-of-network amounts according to patient’s health insurance plan and contractual agreement.
Refers self-pay patients to financial aid/self-pay representative.
Develops and maintains positive customer relationships with all patients, colleagues, visitors, vendors, etc.
Demonstrates advanced critical thinking skills and the ability to effectively navigate ambiguous patient scenarios.
Maintains current knowledge base regarding insurance information and managed care guidelines and knowledge based of designated networks based upon managed care contracts.
Merges patient charts from ancillary systems into the patient's electronic medical record.
Collaborates with other departments to ensure the needs of the patient and department are met.
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 with 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.