Financial Counselor / PA Denial Management
Clinical Laboratory Partners
Work whereevery momentmattersEvery day approximately Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemFinancial Clearance RepresentativePosition SummaryHHC completesa systematic review of scheduled appointments for required elements that must be secured to achieve financial reimbursementWe also create an opportunity to strengthen the financial relationship with our consumers by providing pricing transparency and assisting them prior to service with understanding navigating and fulfilling their consumer responsibilitiesThis position encourages and represents HHCrsquos mission in working towards responding to the needs of our communities and our patientsThe Financial Clearance Representativersquos role is to review accounts via work queues verify payer information review payer filing order initiate and document payer authorization information complete notification of admission and discharge within established payer requirements provide cost of care estimates and collection of patient cost share with a focus on claim denial prevention by collaborating with clinical teams business partners and insurance payersHybrid Telecommuting PositionPosition ResponsibilitiesValidate accuracy of payer information document payer source dataCompile financial data required to verify accuracy of clientrsquos fee sourcemethod of payment to assure timely reimbursementPrepare a price estimate and communicate the uninsured or out of pocket expenses including co pays deductibles and co insurance to consumersInitiate process of insurance verification for all payersContact insurance companies to investigate coverage and obtain pre authorizationauthorization for emergent admissions and other scheduled services within scopeDocument detailed pertinent information related to authorization activity while meeting established requirements in an effort to facilitate payer follow up and support denial disputeTrue to HHC Mission and Values demonstrate positive and effective relationships across the continuum and support a coordinated care experience including timely and accurate communication with internal and external business partnersCollaborate and communicate with transitional care staff clinical colleagues medical offices and business partnersAdherence to the practice of confidentiality HIPAA and other statefederal regulations Ensure compliance with regulatory and agency policies and proceduresDemonstrate HW Leadership behaviors and supports culture and team building initiativesSkillsDesired AttributesmiddotPositive outlookmiddotExcellent oral and written communication skills self directed with a spirit of team support and successmiddotFlexiblemiddotDetail orientedmiddotComputer literacy including Microsoft Office and ExcelmiddotExperience and interest in problem resolution and process improvement Creative thinker Analytical skillsmiddotEPIC experience a plusmiddotBasic medical terminologymiddotAbility to perform in a production environment with a high quality output of workmiddotAble to sit for of the dayWork whereevery momentmattersEvery day approximately Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemFinancial Clearance RepresentativePosition SummaryHHC completesa systematic review of scheduled appointments for required elements that must be secured to achieve financial reimbursementWe also create an opportunity to strengthen the financial relationship with our consumers by providing pricing transparency and assisting them prior to service with understanding navigating and fulfilling their consumer responsibilitiesThis position encourages and represents HHCrsquos mission in working towards responding to the needs of our communities and our patientsThe Financial Clearance Representativersquos role is to review accounts via work queues verify payer information review payer filing order initiate and document payer authorization information complete notification of admission and discharge within established payer requirements provide cost of care estimates and collection of patient cost share with a focus on claim denial prevention by collaborating with clinical teams business partners and insurance payersHybrid Telecommuting PositionPosition ResponsibilitiesValidate accuracy of payer information document payer source dataCompile financial data required to verify accuracy of clientrsquos fee sourcemethod of payment to assure timely reimbursementPrepare a price estimate and communicate the uninsured or out of pocket expenses including co pays deductibles and co insurance to consumersInitiate process of insurance verification for all payersContact insurance companies to investigate coverage and obtain pre authorizationauthorization for emergent admissions and other scheduled services within scopeDocument detailed pertinent information related to authorization activity while meeting established requirements in an effort to facilitate payer follow up and support denial disputeTrue to HHC Mission and Values demonstrate positive and effective relationships across the continuum and support a coordinated care experience including timely and accurate communication with internal and external business partnersCollaborate and communicate with transitional care staff clinical colleagues medical offices and business partnersAdherence to the practice of confidentiality HIPAA and other statefederal regulations Ensure compliance with regulatory and agency policies and proceduresDemonstrate HW Leadership behaviors and supports culture and team building initiativesSkillsDesired AttributesmiddotPositive outlookmiddotExcellent oral and written communication skills self directed with a spirit of team support and successmiddotFlexiblemiddotDetail orientedmiddotComputer literacy including Microsoft Office and ExcelmiddotExperience and interest in problem resolution and process improvement Creative thinker Analytical skillsmiddotEPIC experience a plusmiddotBasic medical terminologymiddotAbility to perform in a production environment with a high quality output of workmiddotAble to sit for of the dayQualifications ExternalmiddotEducationHigh School Diploma or GED is required Associates Degree preferredExperienceMinimum of one year recent homecare healthcare andor call center experience preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentQualifications ExternalmiddotEducationHigh School Diploma or GED is required Associates Degree preferredExperienceMinimum of one year recent homecare healthcare andor call center experience preferredWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
Confirm your E-mail: Send Email
All Jobs from Clinical Laboratory Partners