Patient Access Associate I

About This Role

Coordinates and performs administrative, registration, and financial support duties for the ED & Admitting unit at Connecticut Children's. This role involves interpreting department policies, ensuring accurate patient data, and providing compassionate support to patients and families.

Responsibilities

• Provide general receptionist, secretarial support or Health Unit Coordinator functions following department protocol
• Perform administrative support activities, responding with tact and discretion to patient and family needs
• Maintain privacy and confidentiality by abiding by HIPAA Policies
• Collect and enter accurate demographic, guarantor, and financial data for various patient cases and appointments
• Verify all required insurance and billing information and use proper payer plan codes
• Generate all necessary forms for patient visits and obtain required signatures for Assignment/Authorization and consent
• Perform pre-registration for scheduled patients and register patients adhering to standard department procedure
• Make corrections and updates to patient information in ADT systems as necessary
• Attempt to collect patient liability and co-payment on all accounts at the designated collection point
• Document thorough, clear, explanatory notes regarding incomplete information and insurance verification
• Follow-up on open items to resolve outstanding issues and complete files
• Review and work assigned work queues to ensure accurate registration information at time of visit/billing
• Schedule routine appointments either in person or via telephone and with other areas of the hospital
• Arrive patients for their appointment in the ADT system and verify demographic/insurance information
• Answer telephone, triage calls, and ensure all consent and privacy forms are signed
• Enter routine to complex patient charges into the billing system for physician or care provider visits
• Verify insurance plans using various methods (RTE, web-based, telecommunications)
• Investigate patient insurance coverage and manage the process to maximize payment from commercial and managed care plans
• Refer patients/families to DSS and/or Financial Counselor for assistance
• Post payments in the ADT system and provide receipts

Requirements

• High School Diploma or GED
• 3-5 years directly related customer service experience
• Working knowledge of MS Word and Excel
• Knowledge of ADT systems and Insurance Verification systems
• Knowledge of Managed Care, referral/pre-certification/authorization process
• Knowledge of HIPAA
• Computer, typing, data entry skills
• Excellent telephone and communication skills
• Ability to handle a fast-paced, high-volume environment
• Ability to work in a team environment alongside multiple disciplines

Qualifications

• High School Diploma, GED, or a higher level of education that would require the completion of high school
• 3-5 years directly related customer service experience

Nice to Have

• Associate's degree
• Healthcare experience
• EPIC system experience

Skills

* Required skills