Financial Counselor / Fin Clr Insur Verification

Financial Counselor / Fin Clr Insur VerificationWork 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.Financial Clearance Representative 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.

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 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 dataCompile financial data required to verify accuracy of client's fee source/method 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-authorization/authorization 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 state/federal regulations. Ensure compliance with regulatory and agency policies and proceduresDemonstrate H3W Leadership behaviors and supports culture and team building initiativesSkills/Desired Attributes:Positive outlookExcellent oral and written communication skills; self-directed, with a spirit of team support and successFlexibleDetail orientedComputer literacy including Microsoft Office and ExcelExperience and interest in problem resolution and process improvement; Creative thinker; Analytical skillsEPIC experience a plusBasic medical terminologyAbility to perform in a production environment with a high-quality output of workAble to sit for 90% of the dayQualifications:Education: High School Diploma or GED is required, Associates Degree preferredExperience: Minimum of one (2) year recent homecare, healthcare and/or call center experience preferredRegular Standard Hours Per Week: 40 Schedule: Full-time (40 hours) Shift Details: Monday-Friday 8a-4:30p