Patient Access Representative, Bed Management (Days 7a-3p)

Job Description

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 multidisciplinary 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 multidisciplinary 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 Patient Access Financial Clearance by verifying and documenting appropriate insurance coverage.
• Sends appropriate admission notification faxes to the insurance companies.
• Enters death certificate data electronically or on paper and ensures timely physician certification.
• Supports completion of MRN and encounters 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.
• Excellence in verbal and written communication within a multidisciplinary environment.
• Strong interpersonal skills are essential.
• Strong PC and Microsoft Office experience required.
• Ability to work independently in a multidisciplinary team structure.
• The selected candidate will be required to work some holidays. Pass days are variable and weekend availability is required.

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.

Preferred:

• Previous experience as a Patient Access Representative at a medical center is strongly preferred.
• Hospital Bed Management experience, and/or Billing, Accounts Receivable, Registration experience.
• Familiarity with medical insurance benefits, demonstrated through experience with EMR computerized registration / Financial / IT systems.
• Knowledge of medical terminology.

Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

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