Hiring: Patient Access Representative, Financial Clearance Company: Stony Brook Medicine Location: Commack, NY Job Posted Time: 2026-09-10 13:20:07 Employment Type: Full-time Target Skills & Keywords : CPT, CV, EHR, Electronic Health Records, HIPAA, ICD-10, Medicaid, Medicare, Revenue Cycle Management About the job Experience: •1 year of experience working in a hospital, physician practice, or healthcare setting in revenue cycle, patient access, financial counseling or insurance authorizations. •2 years of demonstrated experience in revenue cycle, patient access, financial counseling, or insurance authorizations. •At least 1 year of experience working in a hospital, physician practice, or healthcare setting in revenue cycle, patient access, financial counseling or insurance authorizations. •At least 2 years of demonstrated experience in revenue cycle, patient access, financial counseling, or insurance authorizations. Required Skills: •The Patient Access Representative, Financial Clearance •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 and 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. •Follows policy and procedure in regard to financial screening, investigation, referral authorization requirements and patient cost sharing for all scheduled hospital elective services. •Verifies and assures all insurance coverage is active and confirms eligibility and benefits for specific service, validates proper authorization is secured for appropriate procedure, diagnoses and service location. Clearly documents notes regarding financial clearance process. •Serves as support to patients and their family members to assure patients have access to all available financial assistance resources. •Maintains daily contact with Utilization Management, Business office, patient registration, ancillary departments as well as physician offices to ensure all registration information is accurate and financial clearance requirements are met prior to scheduled elective services. •Contacts referring/ordering provider in a timely manner to initiate or complete payor requirements to secure authorization approval prior to scheduled procedure. Qualifications: •A minimum of an Associate's degree and at least 1 year of experience working in a hospital, physician practice, or healthcare setting in revenue cycle, patient access, financial counseling or insurance authorizations. •Or in lieu of degree •, at least 2 years of demonstrated experience in revenue cycle, patient access, financial counseling, or insurance authorizations. •Strong background in medical insurance verification, benefits investigation, and authorization management. •Extensive knowledge of commercial insurance, Medicare, Medicaid, managed care plans, workers' compensation, and government-funded insurance programs. •Skilled in interpreting insurance benefits, medical necessity requirements, and payer-specific policies. •Knowledge of CPT, ICD-10, and HCPCS coding related to authorization and insurance verification. •Excellent analytical, organizational, and customer service skills with the ability to manage high-volume workloads while maintaining accuracy. •Proven ability to resolve complex insurance issues, reduce authorization turnaround times, and improve reimbursement outcomes. •Billing experience and an understanding of Accounts Receivables. Compensation: •$54,175 - $61,010 / year Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!