Financial Counselor / Fin Clr Specialty

Hartford Healthcare•Farmington, CT

10d•Hybrid

About The Position

The Financial Clearance Representative reviews scheduled appointments and accounts to ensure required information is secured for financial reimbursement. The role also supports pricing transparency by helping consumers understand, navigate, and fulfill their financial responsibilities before service. The representative reviews accounts through work queues, verifies payer information and filing order, initiates and documents payer authorizations, completes admission and discharge notifications within payer requirements, provides cost-of-care estimates, and collects patient cost shares. The position focuses on preventing claim denials through collaboration with clinical teams, business partners, and insurance payers. This is a hybrid-telecommuting position.

Requirements

High school diploma or GED required.
Minimum of one year of recent homecare, healthcare, and/or call center experience preferred.
Positive outlook.
Excellent oral and written communication skills.
Self-directed, with a spirit of team support and success.
Flexible and detail-oriented.
Computer literacy, including Microsoft Office and Excel.
Interest and experience in problem resolution and process improvement; creative thinking and analytical skills.
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 preferred.
EPIC experience is a plus.
Basic medical terminology.

Responsibilities

Validate payer information and document payer source data.
Compile financial data to verify the accuracy of 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, to consumers.
Initiate insurance verification for all payers.
Contact insurance companies to investigate coverage and obtain pre-authorization or authorization for emergent admissions and other scheduled services within scope.
Document pertinent authorization information to support payer follow-up and denial disputes while meeting established requirements.
Build positive and effective relationships across the continuum and support coordinated care through timely, accurate communication with internal and external business partners.
Collaborate and communicate with transitional care staff, clinical colleagues, medical offices, and business partners.
Follow confidentiality practices, HIPAA, state and federal regulations, and regulatory and agency policies and procedures.
Demonstrate H3W Leadership behaviors and support culture- and team-building initiatives.