Patient Access Representative, Bed Management Specialist

3 days ago


Stony Brook, New York, United States Stony Brook Medicine Full time

Job Summary: We are seeking a highly skilled Patient Access Representative to join our team at Stony Brook Medicine. As a key member of our Patient Access Services team, you will be responsible for ensuring the smooth and efficient flow of patients through our inpatient throughput process.

Key Responsibilities:

  • Coordinate and support 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.
  • Responsible for updates to medical service appropriateness by patient type, screening and taking reservations for direct admissions, and coordinating with the multi-disciplinary team to assign appropriate level of care.
  • Work closely with Bed Coordinators and ADNs (nursing staff) to ensure seamless communication and coordination.
  • Provide hospital-wide requestors with real-time bed status, patient information, and room availability.
  • Complete pre-arrival, pre-registrations, and registrations using various computer system resources for all inter and intra-facility transfers in accordance with prescribed workflows.
  • Support Financial Clearance by verifying and documenting appropriate insurance coverage.
  • Send appropriate admission notification faxes to 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.

Requirements:

  • 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.
  • Excellent verbal and written communication skills 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.

Preferred Qualifications:

  • 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.


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