Patient Access Services Associate - Admitting, Switchboard - Temporary

POSITION SUMMARY :

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 :

• 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, 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 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 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 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 :

PHYSICAL DEMANDS :

Special Notes :     Resume / CV should be included with the online application.

Prior to start date, the selected candidate must meet the following requirements :

Failure to comply with any of the above requirements could result in a delayed start date and / or revocation of the employment offer.

Company Overview :

Stony Brook Southampton Hospital as part of the Stony Brook Medicine provides direct access to the highest level of academic-based medical care. Located in the heart of the village of Southampton, two hours from New York City, the hospital provides healthcare services to a diverse community of year-round residents, second homeowners and vacationers. The population, about 75,000 in the winter months, increases sharply to more than 300,000 in the summer. Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by  Newsday  among large employers (defined as having 500 employees).

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Southampton employees and responsible for employment, including, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining.StaffCo is fully responsible for providing all payroll and human resource services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.  SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes.  Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.  The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.

Stony Brook Medicine is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

Stony Brook Southampton Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.