Financial Counselor / Fin Clr Specialty

Hartford HealthCare Corp.•Farmington, CT

10d•Hybrid

About The Position

The Financial Clearance Representative reviews scheduled appointments and accounts to ensure required financial information is secured for reimbursement and to help patients understand and fulfill their financial responsibilities before service. The role supports Hartford HealthCare’s mission and promotes a coordinated care experience. Responsibilities include reviewing work queues, validating payer information and filing order, initiating and documenting insurance authorization activity, completing admission and discharge notifications within payer requirements, preparing cost-of-care estimates, and collecting patient cost shares. The representative works with clinical teams, business partners, medical offices, and insurance payers to help prevent claim denials. This is a hybrid-telecommuting position.

Requirements

High school diploma or GED.
Excellent oral and written communication skills.
Self-directed approach and a spirit of team support and success.
Flexibility and attention to detail.
Computer literacy, including Microsoft Office and Excel.
Ability to perform in a production environment while maintaining high-quality work.
Ability to sit for 90% of the day.

Nice To Haves

Associate degree.
At least one year of recent homecare, healthcare, and/or call center experience (preferred; the posting states “one (2) year”).
Experience and interest in problem resolution and process improvement.
Creative thinking and analytical skills.
EPIC experience.
Basic medical terminology.

Responsibilities

Validate payer information and document payer source data.
Compile financial information needed to verify the client’s fee source or payment method and support timely reimbursement.
Prepare price estimates and communicate uninsured or out-of-pocket expenses, including copays, deductibles, and coinsurance.
Initiate insurance verification for all payers.
Contact insurance companies to investigate coverage and obtain preauthorization or authorization for emergent admissions and other scheduled services within scope.
Document pertinent authorization activity to support payer follow-up and denial disputes.
Build positive, effective relationships across the care continuum and communicate accurately and promptly with internal and external business partners.
Collaborate and communicate with transitional care staff, clinical colleagues, medical offices, and business partners.
Maintain confidentiality and comply with HIPAA, state and federal regulations, and regulatory and agency policies and procedures.
Demonstrate H3W Leadership behaviors and support culture- and team-building initiatives.