Patient Financial Experience Specialist **Position Summary:** At Stony Brook Medicine, a **Patient Financial Experience Specialist** will support the patient financial experience from within the hospital's Patient Financial Services Department. The position will support day-to-day business functions impacting customer service, patient billing and collections and financial assistance. **Duties of a Patient Financial Experience Specialist** **may include the following, but are not limited to:** + Provides excellent customer service to all patients and physician offices + Educates and screens patients for participation in the Hospital's Financial Assistance program + Processes and approves Financial Assistance applications + Investigates and accurately updates insurance coordination of benefits (COB), including refund request letters, reports, mail, etc. + Processes patient payments, sets up auto pay payments and/or corrects payment information + Identifies issues and patterns on accounts within our financial system + Assists in staff training and makes recommendations to improve policy and procedures for the unit and the office + Verifies and updates insurance plans. + Liaises with third party billing and collection agencies. + Other duties, as assigned **Required Qualifications** + Bachelor's degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; **_or_** **_in lieu of_** a Bachelor's degree, an Associate's degree and at least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; **_or in lieu of a degree_** , at least 2 years of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience. **Preferred Qualifications** + Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third-party payer reimbursement and managed care contracts. + Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision and/or Cerner Millennium Patient Accounting Experience in Insurance Verification. **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.** **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 may be 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 may be 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 Regula