Patient Access & Eligibility Specialist

Connecticut Orthopaedics; Wallingford (CT); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

401(k) contributions

Generous paid time off

Paid holidays

Employee Assistance Program (EAP)

Job summary

Connecticut Orthopaedics in Wallingford, CT, seeks a Registration Specialist responsible for verifying insurance benefits, referrals, and pre-authorization for workers' compensation, and for pre-estimation needs.

The registration associate acts as an expert resource to all staff within the department and the CBO, related to the processes associated with registering patients, referrals, and worker's compensation pre-authorizations.

Qualifications

• High school diploma or equivalent required.
• A minimum of 3 years of relevant experience is required.
• Experience with Epic, Amkai, Practice Management and EMR; payer eligibility websites is helpful.

Responsibilities

• Verify eligibility and registrations using Epic, Amkai, Availity, Medicaid, Medicare, and similar websites.
• Collect pre-payments from patients for non-covered procedures and self-pay appointments.
• Interact with patients to collect insurance and demographic information via email or phone.
• Serve as a liaison for registrations, referrals, workers' compensation, and pre-estimation needs.
• Add insurance company/plans, employers, referrals and provider information.
• Handle workers' compensation authorizations and enter information into Epic and/or Amkai.
• Collaborate with CBO and external vendor relationships to achieve excellent performance.
• Uphold ethical standards, confidentiality, and teamwork in all activities.
• Familiarize with interfaces and applications that gather registration data and know insurance verification denials.

Skills

Customer service

Education

High school diploma or equivalent

Tools

Epic

Amkai

Practice Management EMR

Availity

Job description

Connecticut Orthopaedics in Wallingford, CT, seeks a Registration Specialist responsible for verifying insurance benefits, referrals, and pre-authorization for workers' compensation, and for pre-estimation needs.

The registration associate acts as an expert resource to all staff within the department and the CBO, related to the processes associated with registering patients, referrals, and worker's compensation pre-authorizations.