Patient Access Team Lead, Hospital Outpatient & Admitting

Position Summary

At Stony Brook Medicine, our Patient Access Services team is 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 Team Lead is responsible for assisting the Supervisor in the Hospital Outpatient & Admitting Office. Supports efficient patient arrival processes and ensures staff courteously and professionally obtain accurate and complete demographic and financial information in person or remotely following established processes. Ensures appropriate consents and regulatory signatures are secured from patients or designee, essential for treatment and payment. The Lead adheres to strict rules of confidentiality, department, and organizational policies and procedures.

Duties of a Patient Access Lead may include the following, but are not limited to:

• Serves as the registration super user in Hospital Outpatient/Admitting Office workflows and processes. Supports and guides staff in matters of registration protocols, policy and procedures and patient experience.
• Assists Supervisor in monitoring and coordinating staff work efforts to ensure patient registrations, insurance verification, and copayment collection are completed in a timely manner. Assists with “on the job training” as appropriate.
• Assists Supervisor in activities to ensure excellence in throughput for ambulatory patients. This will include ambulatory surgery, same day admissions, and hospital outpatient procedures.
• Responsible for ensuring correct coding of patient types, medical services, and verification of authorizations to support clean billing and revenue cycle goals.
• Completes patient registrations. Verifies coverage eligibility and determines patient cost share (co-pay) using electronic systems and other means, taking payments at point of service.
• Provides financial guidance and excellence in Financial Care to patients and their representatives, presenting information about their benefit coverage and cost share responsibilities. Provides information on financial assistance services to self-pay patients, collecting required deposits when appropriate.
• Determines eligibility and patient cost share (co-pay / deposit etc.) using electronic systems and other means, taking payments at point of service.
• Ensures that compliance regulations are met (presenting and securing consents and regulatory signatures from patients or designee, essential for treatment and payment, as per procedure).
• Maintains and requires appropriate documents as necessary (i.e. copies of photo ID and insurance documents etc. Witnesses general consents, agreements, and acknowledgements.
• Appropriately relays issues identified as needing higher level intervention to supervisory attention.
• Works in collaboration with a supervisor on leadership shift coverage.
• Assists with other registration tasks as assigned.

The selected candidate will be required to work weekends and holidays. Pass days for this position will fall on weekdays.

Essential Position: This function/position has been designated as “essential.” This means that when the Hospital is faced with an institutional emergency (staff shortages, increased census, inclement weather, and/or other emergencies), employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Qualifications

Required Qualifications:

• Associate's degree with one year working experience in patient access services, medical or hospital registration.

  
  Or in lieu of degree, at least three years of demonstrated experience in patient access or related patient-facing/customer service healthcare revenue cycle role

• Candidate must exhibit leadership qualities demonstrated by excellence in verbal and written communication, computing and multi-tasking skills.
• Candidate must demonstrate experience and expertise in speaking with customers and can work well with persons who are under stress (such as sick patients and their distressed family members).

Preferred Qualifications:

• Knowledge of medical terminology.
• Dispatching, billing/accounts receivable experience.
• Familiarity with medical insurance benefits, demonstrated experience in EMR computerized registration / financial / IT systems.
• Shift lead experience in hospital patient access or patient throughput highly preferred.

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

Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

• 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 maybe 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 maybe 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 at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

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

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*

• Complete electronic reference check with a minimum of three (3) professional references.

• 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).