Patient Access Rep.

Hospital for Special Care•New Britain, CT

26d•Onsite

About The Position

We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day! JOB SUMMARY Responsible for the smooth operations of all front desk/reception area functions as well as other administrative/clerical duties. Pre-admission and admission of all hospital outpatients, ensuring the adequate financial backing. Responsible for accurate and timely preparation and submission of all assigned patient accounts, including charge entry. Performs ongoing analysis of accounts to determine continuation of eligibility of benefits and implements appropriate appeals, coordination of benefits, adjustments, and re-authorizations. At HFSC, we are a family. Each person who is a part of our team of 1,300 employees and volunteers offers unique talents and perspectives. We all believe in keeping the same shared value of making our patients the center of what we do. By combining all of our unique skills and shared values we are able to make a positive difference in the lives of our patients. We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work. We are an Equal Opportunity Employer and offer a competitive benefits package. Not finding the right fit? Let us know you're interested in a future opportunity by clicking Get Started below or create an account by clicking 'Sign In' at the top of the page to set up email alerts as new job postings become available that meet your interest!

Requirements

High School Diploma.
Excellent communication, organizational and interpersonal skills.
Ability to manage multiple priorities .
Familiarity with medical terminology.
Professional demeanor and appearance as well as compassionate and patient.

Nice To Haves

Associate degree.
Knowledge of third- party insurers.
Two years hospital or medical business office experience, or comparable experience with third party or collection agency.
Proficiency in Microsoft Office and electronic scheduling & registration systems.

Responsibilities

Responsible for assigned registration desk operations.
Greets and receives patients and/or visitors, collects copies of insurance information, maintains all patient demographic records, and provides patient orientation regarding hospital/department policies and procedures.
Clinics/recurs/admits correct account for services to be rendered.
Ensure follow-up appointments are scheduled timely.
Perform ongoing analysis of scheduled visits/accounts to determine continuation of eligibility of benefits.
Collects co-pays as needed and balances end of day cash.
Manage, direct and respond to incoming office correspondence as deemed appropriate, including mail, email, faxes and telephone calls and forwards queries to the appropriate staff.
Utilizes office correspondence software as appropriate; Outlook, Mxie, TigerConnect.
Ensures any patient related paper documents are scanned into the electronic medical record.
Maintain solid working knowledge of insurance coverage, benefits and authorizations, Medicare Secondary Payer (MSP) questionnaire and how to log responses, Advanced Beneficiary Notices (ABN) and Memos of Understanding (MOU’s).
Responsible for providing estimates of Outpatient services when needed.
Communicate benefit information to patients.
Collaborates with outpatient authorization team when needed.
Communicates schedule changes timely to appropriate team members.
Cancels/reschedules/no shows patients with appropriate reason codes.
Is familiar with coordinating schedules with various vendors and equipment when prompted by provider.
Process incoming referrals by calling patients to make appointments within 24-48 hours, complete pre-registration, forward intake paperwork and prepare estimates.
Collaborates with Team Leads, Office Coordinators and Administrative Assistants if necessary.
Communicate hospital initiatives and policies such as Follow My Health (patient portal), Connie (statewide health information exchange), Financial Assistance and Release of Information processes to patients as requested.
Keeps a neat and orderly workspace.
Can securely open up and close up office at the start or end of business day.
Is familiar with all stations within the role and can effectively cover and cross train.
Participates in the training and workflow coordination of other outpatient members or support staff.
Provides other regular support as designated by Outpatient Access Manager.