Position Purpose

This position is responsible for reviewing financial/insurance information obtained to meet State, Federal and Third-Party billing requirements to ensure reimbursement for services.

What you will do

Prepares accurate reports and provides departmental summary information for Patient Access Team that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained

Responsible for satisfying admission notice requirements for pre-certification/authorization for HMO/commercial payers in order to meet contractual agreements to avoid penalties

Responsible for editing, updating and timely filing of all new information gathered for each admission. In addition, assists patients with billing related inquiries if necessary

Appeals denied claims for related services, drugs, treatments and supplies. Obtains authorizations for related services, drugs, treatments and supplies

·Assists interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization

Minimum Qualifications

Education: High School Graduate, some college experienced preferred

5 years' experience - Patient Accounting and/or Financial Counseling. Knowledge of billing regulations helpful

Strong interpersonal and communication skills. Demonstrates proficiency in the use of computer systems and computer devices

Knowledge of medical terminology and medical insurances

Position Highlights and Benefits

40 Hours per Week - 8-4:30 M-F with occasional weekends

Great Benefits and Health Insurance Coverage - Starting Day 1

Ministry/Facility Information

Johnson Memorial Hospital and Home & Community Health Services provide a continuum of health care services to those living and working in north central Connecticut and western Massachusetts. The 92-bed hospital and home health and hospice agency have been anchor institutions in north central Connecticut for more than 100 years.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.