Patient Svcs Representative

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This position is Benefit eligible; click here for an overview of available benefits. This position is covered by the UHP Bargaining Unit; click here to review the current UHP Contract. This position is in salary group UHP-03; click here to review the current UHP Pay Plan Why UConn Health UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow. At the UConn Health, this class is accountable for performing a full range of tasks in medical billing, insurance claims and/or duties related to financial counseling.

SUPERVISION RECEIVED

Works under the general supervision of an employee of a higher grade.

SUPERVISION EXERCISED

May lead/supervise lower-level employees as assigned.

EXAMPLES OF DUTIES

Produces accurate and timely billing of patients in accordance with pre-established schedules; Completes insurance, disability and compensation forms; Interviews patients; counsels patients on billing procedures, compensation claims/disability claims; Requests prior authorization for hospital care/payment; Makes payments to insurance brokers for student insurance; Answers patient and insurance inquiries; Researches requests for patient information and prepares reports and correspondence; Maintains records and files; Reviews vouchers and monitors fees; Collects fees for services and may make deposits; Keeps records/files; performs financial counseling duties such as, but not limited to, interviewing patient via visits or phone to determine payment sources and payment arrangements; Initiates charitable (title 19) and other payment sources application process, if appropriate; Provides relevant insurance/financial information to Social Services and home care institutions; Acts as liaison between the patient/family and government agencies; May perform receptionist/triage duties; Performs related duties as required.

MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL AND ABILITY

Knowledge of, and ability to interpret health center/Medicare/insurance billing procedures; Knowledge of Federal, State and other patient financial assistance health programs; Knowledge of the principles and techniques of interviewing; Some knowledge of medical/dental terminology; Knowledge of general office procedures; Considerable interpersonal skills; Oral and written communication skills; Organizational skills; Computer skills; Basic negotiation skills; Record keeping ability; Ability to interpret basic Medicare/Medicaid, and commercial insurance industry regulations.

EDUCATION AND TRAINING

General Experience:

Three (3) years of hospital/medical billing and/or insurance claims experience.

SUBSTITUTIONS ALLOWED

Associates degree may be substituted for and two (2) years of the general experience.

PEFERRED QUALIFICAIONS

Epic experience. Experience obtaining authorization for a variety of diagnostic exams, outpatient procedures, and surgical cases. Experience working in outpatient medical office setting, including scheduling/rescheduling appointments.

SCHEDULE

Full-time, 40 hours per week, Monday through Friday, 7:45 am to 4:45 pm.