Job Opportunities

External Intro

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.

Internal Intro

Are you looking to enhance your career at Downstate? Help us grow as one of the nation's foremost metropolitan medical centers. Lead the charge in serving one of the largest and most diverse populations in New York City. We are highly ranked by Castle Connolly Medical, a healthcare rating company for consumers among the top 5 U.S. leading medical schools for training doctors. Are you ready for the challenge?

Bargaining Unit:

UUP

Job Summary:

The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University is seeking a full-time TH Staff Financial Analyst. Responsibilities will include:

• Timely authorization/notification and verification of benefits and documenting as appropriately.
• Verifies coverage and checks eligibility for insurance benefits; including Medicare and Medicaid.
• Answer all telephone and in-person inquiries about Medicaid and other public programs.
• Reviews admission for correct input by staff in the MSP, COB, ITM, FAM screens.
• Conducts patient interviews to obtain accurate and complete patient demographic and insurance data and contacts patients on the unit or via telephone, when necessary.
• To ensure all patients forms are completed in their entirety, including HIPAA, General Consent, Financial Agreement, Electronic signatures, and other medical forms needed aligned in compliance.
• Maintain the confidentiality and privacy of all patients, medical information, and photo copies of patient insurance and identification cards.
• Interview all patient’s eligibility for Medicaid and/or assess patients for charity care/payment agreement, obtains documentation and complete Medicaid application process for patients within 90 calendar days to secure Medicaid approval/payments for services rendered here or nursing home placement.
• Counsel patient who may have difficulty with paying in full prior to receiving services; and communicate with hospital business office(s) to determine payment/deposit arrangement.
• Interview all patients admitted with “Self Pay” financial class or insufficient coverage within 24 hours of admission (except weekends and holidays) to determine patient’s eligibility for Medicaid and/or assess patients for charity care/payment agreement.
• Interview all patient’s eligibility for Medicaid and/or assess patients for charity care/payment agreement, obtains documentation and complete Medicaid application process for patients within 90 calendar days to secure Medicaid approval/payments for services rendered here or nursing home placement.
• Review in-house patient accounts ensuring patient(s) have adequate insurance to cover hospitalization. 
• Secure completion of 2151 and 486 Medicaid application processing as needed.
• Obtain demographic information and update the electronic system with corrected information to the Admitting, Quality Management and Social Work Departments.
• Follow up on all Medicaid accounts with any of the following issues are to initiate corrections/updates to the patient(s) file at MAP in order to facilitate payments: Sex/Date of Birth discrepancies, Third party insurance, HMO/PCP, and Newborn not on PCP/HMP. 
• Request for retroactive  coverage and for extension of coverage.
• Adhere to provide excellent customer service and greet/serve all patients, visitors, staff with courtesy and respect, both in person and phone by identifying yourself and location.
• Adhere to hospital policy and procedures, educate patients and the ability to interact with all support staff, clinical staff, managers, department heads and Executive Leadership
• Other duties and responsibilities assigned by supervisor/manager and or department head.

Required Qualifications:

• High School Diploma.
• Must possess a high degree of professionalism, adaptability and strong customer services skills with exceptional multi-tasking organization skills and attention to detail.
• Strong verbal, written and interpersonal communication skills.

Preferred Qualifications:

• Bachelor's Degree.
• 3 to 5 years patient registration experience in an outpatient and/or hospital environment.
• Knowledge of third-party billing, health insurance verification, registration, and collections.
• Computer literacy.
• Fluent in second language (French/Creole/Spanish).

Work Schedule:

Variable Days; Variable Hours (Full-Time)

Salary Grade/Rank:

Salary Range:

Commensurate with experience and qualifications

Executive Order:

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.  If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.

Equal Employment Opportunity Statement:

SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.

Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.

If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at ada@downstate.edu