Insurance Coordinator

SCOPE OF POSITION:

To facilitate a positive patient experience as well as proper billing procedures, by performing insurance verification and authorization on all accounts supported by Central Registration/Scheduling, including but not limited to, all inpatient admissions, and other ancillary department registrations as identified.  Provide all input and output accounts registered as assigned.  Initiate the authorization process and referral and notify physician as needed.  Maintain strict patient confidentiality in accordance with HIPAA as well as Waterbury Hospital’s Compliance and Privacy standards as well as all other corporate policies and procedures. There is the potential of remote work availability.

RESPONSIBILITIES:

• Ensure complete and accurate patient demographics and financial data for all Inpatient and Outpatient accounts supported by the department of Central Registration (Radiology, ED, Behavioral Health, Lab, etc).
• When appropriate, provide patient with estimated financial responsibility. Inform patients of hospital policy to collect estimated self-pay balances prior to elective services; Collect on estimated balances; Educate patients of financial assistance programs and initiate as appropriate; Proactively escalate financially unsecured accounts to department leadership.
• Make efficient use of work time to accomplish assignments and expected outputs as well as the ability to accept or respond to change in the work environment in a way that promotes department goals and objectives, to include notifying Team Leader when able to do additional work.
• Promote and maintain working relationships within a multi-skilled team environment to facilitate department/hospital vision and goals.
• Provide coverage as needed to include performing other related duties as required, which may include but not limited to scheduling and registration and participate as a preceptor in the training of co-workers.  Ability to work well under pressure and prioritize tasks.
• Demonstrate the ability to utilize all equipment and programs provided to assist in meeting job requirements and output.

• Any other duties as required and necessary to the position.

REQUIREMENTS:

• Knowledge and ability to use PC, electronic modality and a variety of other business equipment.
• Strong customer service skills; ability to communicate effectively with physician, patients, staff, visitors and others.
• Requires knowledge and use of reference materials as provided in a multi-faceted environment i.e., manuals, memos, policies, procedures, etc.
• Ability to exercise good judgment, time management skills and follow appropriate procedures when setting priorities and handling stressful situations.
• Clerical and mathematical skills.
• Ability to maintain confidential patient financial and medical information.
• Comprehensive knowledge of hospital billing, third party collection requirements and Credit & Collection policies. Knowledge of medical terminology.
• Ability to work in a business office environment, which requires the accessing of information from many sources, systems, locations and media.
• Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures.
• Perform automated functions that fall within job responsibility.
• High School graduate or equivalent
• At least two (2) years’ experience in a hospital, physician’s office or other type of medical setting with emphasis in registration, scheduling, order entry and insurance verification.
• Ability to follow direction and comply with office policies / procedures
• Must be able to accept additional responsibilities as appropriate.