Patient Services Coordinator - Behavioral Health

Hartford Hospital•Hartford, CT

About The Position

The Patient Services Coordinator ensures patients are cleared for specialty services office visits and serves as a point person for hospitals, departments, and other health care facilities regarding provider orders and referrals. The role supports clinical staff with administrative aspects of referrals, acts as a liaison among hospitals, physicians, health plans, vendors, patients, and referral services, and manages outgoing referrals to agencies that can help clients meet the goals and objectives in their Care Plans. The position provides administrative support in ambulatory areas, including day treatment programs and outpatient clinics, and may float to different areas based on patient volumes. It supports patient care through appointment scheduling, pharmacy calls, billing, precertification verification, phone-call triage, insurance and authorization processes, referral documentation, and collaboration with care teams, including care management for high-risk patients.

Requirements

  • Associate’s degree or equivalent knowledge in an ambulatory environment.
  • Five years of experience working with referral processes.
  • Familiarity with the EPC EHR system.
  • Strong verbal and written communication skills in English and Spanish.
  • Continuous-improvement mindset, ingenuity, innovative thinking, and organizational skills.
  • Excellent attention to detail.
  • Ability to approach problems constructively, move projects forward, explore and analyze alternatives, and understand the impact of change.
  • Proven ability to work successfully in a team environment and influence others to promote continuous improvement.
  • Strong Microsoft Office and multimedia curriculum-development systems ability.
  • Ability to work effectively with system vendors, IG consultants, team members, and HHC affiliates.

Responsibilities

  • Provide administrative support in ambulatory areas, including day treatment programs and outpatient clinics, floating to different areas based on patient volumes.
  • Support patient care by scheduling appointments, calling pharmacies, billing patients, verifying precertifications, and triaging calls from patients and guardians as appropriate.
  • Gather information from insurance carriers, financial counselors, and ancillary staff to establish patients’ financial obligations for services.
  • Process new-patient paperwork according to protocols; verify insurance coverage and obtain authorizations when needed.
  • Resolve precertification, registration, and case-related concerns before patient appointments.
  • Enter referrals and document communications in the electronic health record as appropriate.
  • Communicate constructively with team members and referral teams to reduce conflicts and resolve issues.
  • Collaborate with team members to provide care management services for high-risk patients.
  • Manage outgoing referrals to appropriate agencies to support clients’ Care Plan goals and objectives.

Benefits

  • Medical and dental benefits.
  • 401(k) plan with employer match.
  • Paid time off that accrues starting on the date of hire.
  • Additional voluntary benefits and employee discount programs.
  • Career development and growth opportunities.
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