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Patient Access

  • Ref: 298366
  • Type: Contract
  • Location: Hartford, CT
  • Industry: Hospitals
  • Job Level: Experienced Non-Manager
  • Pay: Negotiable

Opportunity Description

Patient Access  - All shifts 

We are currently looking for someone in a local hospital in Hartford, CT for a contract position in Patient Access

Job Duties

  • Collects and enters accurate demographic, guarantor and financial data for Emergency Department
  • 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. 
  • Schedule complex appointments 
  • Answer telephone and triage calls for the department.
  • Ensure all consent and privacy forms are signed.
  • Enters routine to complex patient charges into billing system for physician or care provider visits, according to protocol.
  • Communicates with insurance companies to obtain benefits, referrals, and/or authorization requirements.
  • Communicates with Clinical/Office staff regarding patient eligibility, authorization status, and need for clinical documentation.
  • Completes chart reviews to submit all appropriate documentation to insurance companies for authorization purposes.
  • Works directly with RN, APRN, and MD level staff to notify of denials requiring further action.
  • Coordinates with Utilization Review for status designation of Outpatient/Inpatient Admissions.

Experience & Skills Required

  • High School diplomaIntermediate knowledge of MS Word and Excel
  • ADT systems and Insurance Verification systems (EPIC preferred)
  • Knowledge of Managed Care, referral/pre-certification/ authorization process.
  • Knowledge of HIPAA regulations and compliance

Other Information

INDCT #ZR3