Patient Services Coordinator - Behavioral Health

Hartford HealthCare; Hartford (CT); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical and dental benefits

401(k) plan with employer match

Generous paid time off

Employee discount programs

Job summary

Hartford HealthCare is seeking an experienced administrative professional to clear patients for specialty services visits and coordinate referrals across hospitals, physicians, health plans and vendors. You will manage outbound referrals and support care plans with a focus on efficient processes.

The role requires five years in referral workflows, EPC EHR familiarity, and strong English/Spanish communication.

Qualifications

• Associate’s degree or equivalent knowledge in ambulatory environment.
• Five years experience working with referral processes.
• Familiarity with EPC EHR system.
• Strong verbal and written English and Spanish communication skill.
• Proven change-driven mindset with organizational skills.
• Excellent attention to detail in this position.
• Ability to work in a team and influence others toward improvement.
• Strong Microsoft Office and multimedia curriculum development skills.
• Ability to collaborate with vendors, IG consultants and HH affiliates.

Responsibilities

• Responsible for administrative support in ambulatory areas including day treatment programs and outpatient clinics, floating to different areas based on patient volumes.
• Support to enhance patient care including scheduling appointments, calling pharmacies, billing patients, verifying precertifications, triaging calls.
• Gather information from insurance carriers and staff to determine patient financial obligations.
• Process paperwork for new patients; verify insurance coverage and obtain authorizations as needed.
• Enter referrals and document communications in the electronic health record.
• Communicate with team members and referral teams to reduce conflicts and improve issue resolution.
• Work collaboratively to provide care management services for high‑risk patients.

Skills

English and Spanish communication

Attention to detail

Team collaboration

Microsoft Office proficiency

Problem solving

Organizational skills

Education

Associate’s degree or equivalent knowledge in ambulatory environment

Tools

EPC EHR system

Job description

Location Detail: HH Donnelly Bldg (10051)

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The Institute of Living, one of the first mental health centers in the U.S., remains one of America’s leading not-for-profit centers for patient care, research and education in the fields of behavioral, psychiatric and addiction disorder. Through our dedicated, experienced and skilled clinicians, we provide patients and their families with the highest quality of personalized care. Programs are offered for children, adolescents and adults struggling with mental illness as well as offering services specializing in Anxiety, Eating Disorders, and Geriatric Services.

Job Summary

This position ensures patients have been cleared for specialty services office visits. Point person for all hospitals, department and other health care facilities pertaining to questions/concerns on all provider orders/ referrals. Provides support to clinical staff in order to facilitate the administrative components of clinical referrals for various services. Acts as a liaison between hospital, physicians, health plans, vendors and patients, or other referral services. Manages all outgoing referrals to appropriate agencies to assist the client in achieving the goals and objectives identified in their Care Plan.

Responsibilities

• Responsible for administrative support in the ambulatory areas including day treatment programs and outpatient clinics, floating to different areas based on patient volumes.
• Provide support to enhance patient care including scheduling appointments, calling pharmacies, billing patients, verifying precertification’s, triaging phone calls from patients and guardians as appropriate.
• Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient’s financial obligations for services provided.
• Processes paperwork for new patients efficiently and in accordance with protocols. Verifies insurance coverage and obtains authorizations if needed from insurance carrier. Resolves pre-certification, registration and case-related concerns prior to a patient’s appointment.
• Enters referrals and documents communications, in electronic health record as appropriate.
• Communicates with other team members and referral teams constructively in order to reduce conflicts and enhance the resolution of issues.
• Working collaboratively with other team members, provide care management services for high risk patients.

Qualifications

• Associate’s degree or equivalent knowledge in ambulatory environment.
• Five years-experience working with referral processes.
• Familiarity with EPC EHR system
• Strong verbal and written English and Spanish communication skill.
• As a proponent of change, demonstrates continuous improvement mindset, ingenuity and innovative thinking and organizational skills
• Excellent attention to details skills, very critical in this position.
• Ability to approach problems constructively by focusing on how to move project forward, to explore and analyze/process alternative and understand impact of change.
• Proven ability to successfully work in a team environment. Ability to influence others within ones sub-team in addition to broader teams to promote the continuous improvement process.
• Strong Microsoft office and multi-media curriculum development systems ability.
• Ability to work effectively with system vendors, IG consultants, team members and any given HHC affiliate.

We take great care of careers.

Benefits

• Medical and dental benefits
• 401(k) plan with employer match
• Generous paid time off with accrual starting on the date of hire
• Additional voluntary benefits as well as employee discount programs
• Located on the Institute of Living’s historic park-like grounds designed by Frederick Law Ohlmsted

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters.

And this is your moment.

As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.