Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations.

Summary:
Facilitates patient flow through the referral, scheduling, and financial clearance process. Responsible for obtaining demographic and financial information to ensure accurate patient identification and to secure reimbursement. Performs pre-registration functions and insurance eligibility verification. Provides estimates for services. Requests and secures payments

Responsibilities:

• May be assigned to schedule patients for hospital or medical group services by incoming phone calls, online requests, or outbound to patients.
• Work within the central referral management system to identify and schedule specialist and primary care referrals.
• Provides excellent customer service both to physician offices and patients.
• Performs insurance eligibility verification and executes payer requirements as needed.
• Obtains accurate insurance benefit information from payers, such as deductible, copay, and coinsurance amounts.
• Utilizes patient estimation tool to calculate estimate of patient liabilities.
• Initiates requests for authorizations, pre-certifications, notices of admission, and referrals from insurance companies.
• Follows up with payers and providers to ensure that authorizations are in place.
• Collects on such liabilities prior to time of service utilizing provided scripting.
• Refers patients who express financial hardship to Financial Counseling for a financial assessment.

Requirements:

• HS Diploma
• Required Minimum of 2-year job-related experience
• Associates Degree Preferred with 6 months job-related experience
• National Association of Healthcare Access Management (NAHAM) certification within one year of hire

Location: Summit-100 Reserve Rd

Work Type: Full-Time

Standard Hours: 40.00

Work Shift: Variable hours Mon-Fri 8am - 8pm

Department: Corporate Financial Clearance

Salary Range: $15.30 - $28.22 Hourly (based upon experience)