Patient Access Services, Team Lead - Ambulatory Registration

Stony Brook University•Town of Brookhaven, NY

10d•Onsite

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. The Ambulatory Registration Team Lead is responsible for helping oversee the operations of clerical support staff by managing and delegating interactions between patients, providers, and administration to improve customer service and employee satisfaction. They are also responsible for assigning tasks and ensuring completion, overseeing staff by acting as a resource for information and difficult situations, while maintaining open communication with staff, patients, providers and leadership to ensure operational goals are met. Highly focused position to ensure that the Patient Access staff possess a deep knowledge of what constitutes high quality service from the perspective of all customers. This position will collaborate with Patient Access leadership to ensure a proper and excellent patient experience is achieved. Responsible for the overall day-to-day administrative operations and delivery of the critical components of the front-end business.

Requirements

Associate’s degree required.
Five (5) years’ experience in Healthcare or Revenue Cycle or Business Office required.
Three (3) years' experience in staff supervision/leadership required.
Two (2) years Patient Access experience required.
One (1) year insurance verification/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.

Responsibilities

Oversees and coordinates the flow of overall functions of the Patient Access Services Office.
Performs scheduling/registration functions and general office duties including word processing, copying, filing, faxing, answering phones and data entry.
Organizes, distributes and responds to all incoming emails to the department email box.
Assists clinical and marketing teams for departmental promotions.
Assists where appropriate to maintain departmental regulatory compliance.
Works across departmental teams to maintain workflow efficiencies.
Participates directly in revenue cycle initiatives as needed.
Collects co-payment, deductible, and co-insurance amounts according to patient’s health insurance plan and contractual agreement.
Helps merge patient charts from ancillary systems into the patients’ electronic Medical Record.
Performs new patient intake process.
Supports quality patient care while meeting health and safety standards.
Verifies insurance eligibility of all insured patients and financially investigate self-pay patients.
Obtains authorization/notification for elective services via insurance payer website, facsimile, or phone.
Organizes, maintains, and tracks authorizations for all patients and visits.
Collaborates with other departments to ensure the needs of the patient and department are met.
Reports and attends departmental monthly meetings and provide updates on departmental initiatives, goals, and statistics.
Responsible for creating and preparing unique and recurring reports or project as needed and assigned while keeping Patient Access leadership properly informed including daily point-of-service collections and revenue cycle initiatives.
Collaborates with Patient Access leadership on performance expectations, regulatory and accreditation mandates.
Works closely with Patient Access training team to ensure all new hires have necessary access to hospital systems.
Tracks and manages single case rate agreements to maximize reimbursement.
Stays abreast of changing third party payer criteria to aid in revenue capture as it relates to the hospital financial policy.
Maintains current knowledge base regarding insurance information and managed care guidelines; maintains knowledge base of designated networks based upon managed care contracts.
Coordinates with Patient Access leadership to ensure appropriate staffing levels are met based on operational needs, handles/arranges coverage as needed, and can be required to accommodate all shifts and locations across the department.
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 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 and contractual mandates and HR policy.
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 related duties as deemed appropriate by the Patient Access Services leadership.