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Hartford HealthCare

Financial Counselor / PA Customer Service

Hartford HealthCare, Farmington, Connecticut, us, 06030

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Financial Counselor / PA Customer Service Join to apply for the

Financial Counselor / PA Customer Service

role at

Hartford HealthCare .

Location Detail:

9 Farm Springs Rd Farmington (10566)

Work where every moment matters. Every day, more than 40,000 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 Connecticut’s most comprehensive healthcare network.

The 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 organization. With 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 system.

Position Summary

HHC completes a systematic review of scheduled appointments for required elements that must be secured to achieve financial reimbursement. We 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 responsibilities. This position encourages and represents HHC’s mission in working towards responding to the needs of our communities and our patients.

Financial Counselor role

The Financial Counselor 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 payers.

Hybrid-Telecommuting Position

Position Responsibilities

Validate accuracy of payer information; document payer source data

Compile financial data required to verify accuracy of client’s fee source/method of payment to assure timely reimbursement

Prepare a price estimate and communicate the uninsured or out-of-pocket expenses including co-pays, deductibles, and co-insurance to consumers

Initiate process of insurance verification for all payers

Contact insurance companies to investigate coverage and obtain pre-authorization/authorization for emergent admissions and other scheduled services within scope

Document detailed pertinent information related to authorization activity while meeting established requirements in an effort to facilitate payer follow up and support denial dispute

True 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 partners

Collaborate and communicate with transitional care staff, clinical colleagues, medical offices and business partners

Adherence to the practice of confidentiality, HIPAA and other state/federal regulations. Ensure compliance with regulatory and agency policies and procedures

Demonstrate H3W Leadership behaviors and supports culture and team building initiatives.

Skills/Desired Attributes

Positive outlook

Excellent oral and written communication skills; self-directed, with a spirit of team support and success

Flexible

Detail oriented

Computer literacy including Microsoft Office and Excel

Experience and interest in problem resolution and process improvement; creative thinker; analytical skills

EPIC experience a plus

Basic medical terminology

Ability to perform in a production environment with a high-quality output of work

Able to sit for 90% of the day

Qualifications

Education:

High School Diploma or GED is required, Associate’s Degree preferred

Experience: Minimum of one (2) year recent homecare, healthcare and/or call center experience preferred

We take great care of careers.

Seniority level

Entry level

Employment type

Full-time

Job function

Finance and Sales

Industries

Hospitals and Health Care

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