Financial Counselor / PA Financial Assistance

Hartford Healthcare•Farmington, CT

1d•Hybrid

About The Position

HHC completes a systematic review of scheduled appointments for required elements that must be secured to achieve financial reimbursement. We also create an opportunity to strengthen the financial relationship with our consumers by providing pricing transparency and assisting them prior to service with understanding, navigating and fulfilling their consumer responsibilities. This position encourages and represents HHC’s mission in working towards responding to the needs of our communities and our patients. The Financial Clearance Representative’s role is to review accounts via work queues; verify payer information, review payer filing order, initiate and document payer authorization information, complete notification of admission and discharge within established payer requirements, provide cost of care estimates and collection of patient cost share with a focus on claim denial prevention by collaborating with clinical teams, business partners and insurance payers.

Requirements

High School Diploma or GED is required
Minimum of one (2) year recent homecare, healthcare and/or call center experience preferred
Computer literacy including Microsoft Office and Excel
Basic medical terminology
Ability to perform in a production environment with a high-quality output of work

Nice To Haves

Associates Degree preferred
EPIC experience a plus

Responsibilities

Validate accuracy of payer information; document payer source data
Compile financial data required to verify accuracy of client’s fee source/method of payment to assure timely reimbursement
Prepare a price estimate and communicate the uninsured or out-of-pocket expenses including co-pays, deductibles, and co-insurance to consumers
Initiate process of insurance verification for all payers
Contact insurance companies to investigate coverage and obtain pre-authorization/authorization for emergent admissions and other scheduled services within scope
Document detailed pertinent information related to authorization activity while meeting established requirements in an effort to facilitate payer follow up and support denial dispute
True to HHC Mission and Values, demonstrate positive and effective relationships across the continuum and support a coordinated care experience including timely and accurate communication with internal and external business partners
Collaborate and communicate with transitional care staff, clinical colleagues, medical offices and business partners
Adherence to the practice of confidentiality, HIPAA and other state/federal regulations. Ensure compliance with regulatory and agency policies and procedures
Demonstrate H3W Leadership behaviors and supports culture and team building initiatives.