Professional Billing Registration - Patient Access Associate II - Per Diem

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home.

Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.

Under general supervision, coordinates and performs multiple complex functions within the Patient Access department. Utilizes judgment to interpret department policies to resolve routine to complex inquiries/patient account problems with other departments. Identifies opportunities for process improvements and offers potential solutions.

Education and/or Experience

Required:

* High School Diploma, GED, or a higher level of education that would require the completion of high school, is required.

* 5-7 years directly related experience preferred;
Healthcare experience required.

Education and/or Experience Preferred:

* Associates Degree preferred.

License and/or Certification:

Required:

None

Preferred: CHAA (Certified Healthcare Access Associate).

Knowledge, Skills and Abilities:

Knowledge of:

* Intermediate knowledge of MS Word and Excel.

* ADT systems and Insurance Verification systems (EPIC preferred).

* Knowledge of Managed Care, referral/pre-certification/ authorization process.

* HIPAA.

Skills:

* Computer, typing, data entry.

* Excellent telephone and communication skills.

* Strong organizational skills.

Ability to:

* Handle a fast paced, high-volume environment,

* Work in a team environment alongside multiple disciplines.

* Provide guidance and assist in training to peers.

* Have crucial conversations with others/ peers.

Administrative:

* Following department protocol provides general receptionist, secretarial support, or Health Unit Coordinator functions.

* Performs a variety of administrative support activities in support of the unit operations.

* Responds with tact and discretion to the needs of patients and families.

* Maintains privacy and confidentiality.

* Assists with staffing assignments and scheduling as requested.

Registration:

* Collects and enters accurate demographic, guarantor and financial data for Emergency Department, Inpatient and Outpatient cases and Physician Practice Office appointments.

* Verifies all required insurance and billing information and uses the proper payer plan codes.

* Generates all necessary forms for patient visit and obtains patient/parent/legal guardian signature for Assignment/ Authorization and consent.

* Performs pre-registration for scheduled patients and registers patients upon arrival adhering to standard department procedure.

* Makes corrections and updates patient information in computer systems as necessary.

* Asks patients/families whether their visit was satisfactory and attempts to address any questions/issues prior to patient departure.

* Documents thorough, clear, explanatory notes regarding reasons for incomplete information at time of registration. Documents concise and understandable comments regarding patient or guarantor interaction, efforts to collect co-payments and referrals to Financial Assistance.

* Follows-up on open items to resolve outstanding issues and complete the file.

* Reviews all documentation records regarding incomplete information at time of registration, patient or guarantor interaction, efforts to collect co-payments, estimated self-pay balances and referrals to Financial Assistance.

* Follows up with team member responsible for resolving the open issue to provide assistance or additional training to ensure prompt completion of the file.

* Reviews and works assigned work queues for registration information to ensure that accounts are accurate at time of visit and or billing.

Scheduling:

* Schedule complex appointments either in person or via telephone

* Creates/inputs complex department provider appointments.

* May schedule/coordinate appointments with other areas of the hospital.

* As a first line representative of CT Children's, this person must have the ability to deal compassionately and professionally with patients and families.

Front Office (Check-In):

* Arrives patients for their appointment in the ADT system.

* Verifies demographic and insurance information at time of arrival (including securing patient financial liability at time of service).

* Check out process including scheduling or rescheduling…