Patient Services Coordinator - Adult Psych

Hartford Healthcare•Hartford, CT

5d•Onsite

About The Position

This position ensures patients have been cleared for specialty services office visits. It serves as the point person for all hospitals, departments, and other healthcare facilities pertaining to questions/concerns on all provider orders/referrals. The role provides support to clinical staff to facilitate the administrative components of clinical referrals for various services. It acts as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral services. The position manages all outgoing referrals to appropriate agencies to assist the client in achieving the goals and objectives identified in their Care Plan.

Requirements

Associate's degree or equivalent knowledge in ambulatory environment
Five years' experience working with referral processes
Familiarity with EPC EHR system
Experience in ambulatory healthcare environment with front and back end office process involving patient scheduling, registration, information flow, billing/coding and office systems
Strong verbal and written communication

Responsibilities

Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient’s financial obligations for services provided.
Processes paperwork for new patients efficiently and in accordance with protocols.
Verifies insurance coverage and obtains authorizations if needed from insurance carrier.
Resolves pre-certification, registration, and case-related concerns prior to a patient’s appointment.
Tracks and supports patients when they obtain services outside the practice (e.g., Emergency departments, Hospitals, and other healthcare facilities).
Monitors and meets PCMH referral processes.
Enters referrals and documents communications, actions, and other data in an information system.
Ensures that all referral requests are properly signed and filed.
Care coordination – assists with specialty appointments and obtains needed tests recommended by a specialist.
Communicates with other team members and referral teams constructively to reduce conflicts and enhance the resolution of issues.
Acts as the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns on orders and referrals.
Working collaboratively with other team members, provide care management services for high-risk patients.
Obtains insurance referrals for patients, getting PA for diagnostic imaging and sending referrals to specialist office for cardiac and preventative screenings.
Assist and promote preventive care appointments.
Tracks Breast cancer screening orders.