At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial Screening and Verification, and patient throughput.
Qualified candidates will demonstrate excellent communication skills, interpersonal skills, knowledge and understanding of patient care and effectively respond to changing patient needs by making decisions based on ethical principles and adhering to our high standard of excellence.
The Patient Access Representative assigned to Bed Management is a key member of the Patient Access Services team, responsible for inpatient throughput ensuring that all patients are assigned to the appropriate level of care. Works closely with Bed Coordinators and Administrators in a multi-disciplinary centralized throughput model. Responsible for Pre-Registrations, Registration, and Pre-Arrivals ensuring the accuracy of information. Responsible for ensuring inter and intra-facility transfers are registered timely and appropriately in accordance to prescribed workflows. Responsible for completing inpatient registration and securing regulatory documents/signatures. Responsible for coordination between physicians, patient units and morgue personnel to ensure DAVE workflows are completed for timely decedent release.
Bed Management Patient Access Representative duties include, but are not limited to:
Coordinates and supports activities to ensure excellence in throughput for inpatient and observation; including same day admits, urgent, emergency and transfers in collaboration with a multi-disciplinary team in the CTO Office.
Responsible for updates to medical service appropriateness by patient type. Screens and takes reservations for direct admissions and coordinates with the multi-disciplinary team to assign appropriate level of care.
Works closely with Bed Coordinators and ADNs (nursing staff).
Responsible to provide hospital wide requestors with real time bed status, patient information, and room availability.
Completing pre-arrival, pre-registrations and registrations using various computer system resources for all Inter and Intra-facility transfers in accordance with prescribed workflows.
Supports Financial Clearance by verifying and documenting appropriate insurance coverage.
Send appropriate admission notification faxes to the insurance companies.
Enter death certificate data electronically or on paper and ensure timely physician certification.
Support completion of MRN and encounter combines and building physician using the HNA Combine Tool.
Complete patient registration, including demographic and regulatory information, confirming insurance eligibility / verification.
Qualifications
Required:
Associate's Degree with one year working experience in the healthcare industry.
In lieu of degree, two years of demonstrated excellence working in a hospital, public health, or facility-based healthcare setting.
Knowledge of insurance eligibility and proper coverage identification.
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