Financial Counselor​/PA Financial Assistance

Overview

Location Detail: 9 Farm Springs Rd Farmington (10566)

Shift Detail: Sunday - Thursday 8:00 am - 4:30 pm (hours negotiable)

Work where every moment matters. Hartford Health Care is a comprehensive healthcare network serving Connecticut. The creation of the HHC System Support Office recognizes a growing group of employees whose responsibilities evolve to work on behalf of the system as a whole.

With the creation of our umbrella organization we have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

HHC completes a systematic review of scheduled appointments for required elements that must be secured to achieve financial reimbursement. We also create opportunities 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 supports HHC’s mission by responding to the needs of our communities and patients.

The Financial Clearance Representative’s 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 collect patient cost share with a focus on claim denial prevention by collaborating with clinical teams, business partners and insurance payers.

Hybrid-Telecommuting Position

• 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 to facilitate payer follow up and support denial dispute
• 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 confidentiality, HIPAA and other state/federal regulations. Ensure compliance with regulatory and agency policies and procedures
• Demonstrate H3W Leadership behaviors and support culture and team building initiatives

• 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

• 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. Hartford Health Care offers opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. Every moment matters. And this is your moment
.