Job Description - Patient Access Services, Associate - Admitting / Switchboard (2403703)
BRIEF DESCRIPTION:The Patient Access Services, Admitting / Switchboard Associate is responsible for ensuring all patients are registered in accordance 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.
RESPONSIBILITIES: Performs 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, where they gather and confirm 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 patient to 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-direct them to another number or place them in a waiting queue if the desired number is busy.Provides external connections for staff and answer 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 a knowledge base of designated networks based upon managed care contracts.Demonstrates ability to utilize data retrieval insurance eligibility systems.Managers 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 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.REQUIREMENTS/EXPERIENCE AND QUALIFICATIONS: High School Diploma or equivalent required.Associate's degree in Business, Healthcare, or related field or two (2) years' knowledge in Revenue Cycle, Health Care, or business office required.Basic office skills and computer literacy required.Strong communication, interpersonal, and multitasking skills required.Customer service and support skills required.Possesses basic insurance knowledge to help in assisting patients in understanding medical insurance benefits.CPT, ICD-10 and medical terminology experience preferred.Special Notes: Resume/CV should be included with the online application.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations.
Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Employee Health Services.Successfully complete a 4-panel drug screen.Meet Regulatory Requirements for pre-employment screenings.Provide a copy of any required New York State license(s)/certificate(s).Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The Human Resources department will be responsible for any fee incurred for examination. Job Number:2403703
Job Field:Other
Primary Location:US-NY-Southampton
Department/Hiring Area: Patient Access Services
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