Patient Access Services, Associate

Stony Brook Southampton Hospital

Key Responsibilities

• Supports registration functions and general office duties including word processing, copying, filing, faxing, answering phones, and data entry.
• Conducts patient interviews as part of the scheduling/registration procedure, gathering and confirming patient’s demographic details, insurance data, and financial obligations.
• Verifies patient’s prescription, diagnosis, referring providers, and services based on facility and patient’s availability.
• Explains the content of all required forms and obtains signatures as appropriate.
• Reviews, assesses, and evaluates patient registrations to ensure accuracy of demographic and financial information.
• Collects co-payment, deductible, and co-insurance amounts according to the patient’s health insurance plan and contractual agreement.
• Refers self-pay patients to a financial aid/self-pay representative.
• Operates telephone switchboards and consoles to connect, hold, transfer, and disconnect telephone calls.
• Determines the nature of inquiries and provides general information.
• Connects calls to the required extension, re-directs them to another number, or places them in a waiting queue if the desired number is busy.
• Provides external connections for staff and answers internal queries directed to the switchboard.
• Develops and maintains positive customer service with all patients, colleagues, visitors, and vendors by exercising utmost diplomacy and tact.
• 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.
• Manages RQA reports by resolving errors and producing corrected accounts.
• Collaborates with other departments to ensure the needs of the patient and department are met.
• 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.

Requirements & Tech Stack

• Associate's degree OR High School Diploma/GED and two (2) years’ combined experience in Revenue Cycle, Medical Office, or Business Office.
• Strong communication, interpersonal, and multitasking skills.
• Computer literacy and customer service skills.

Preferred Experience:

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

Physical Demands

• Prolonged periods of standing, sitting, and walking.
• Must be able to lift up to 25 pounds.
• Commuting to hospital and offsite facilities required.
• Exposure to various illnesses and diseases.
• May require travel to other locations to support operational needs.
• May require the wearing of respiratory protection, which may prohibit facial hair.
• This position may be designated as “essential,” requiring employees to remain at or report to work during institutional emergencies.

Salary

$27.94 - $29.66 / hour