Patient Services Representative

Uconn Health Center; Farmington (CT); On-site; USD 42,000 - 60,000; Full time

Job summary

UConn Health seeks a Patient Services Representative for the Interventional Psychiatry department. The role focuses on medical billing, insurance claims, and financial counseling to support patient experiences.

The incumbent will interview patients, assist with prior authorizations, and communicate insurance information to social services and related entities, ensuring smooth financial transactions and compliance with regulations.

Qualifications

• Knowledge of health center/Medicare/insurance billing procedures.
• Knowledge of Federal, State and other patient financial assistive health programs.
• Knowledge of the principles and techniques of patient interviewing.
• Record keeping ability.

Responsibilities

• Produces accurate and timely billing of patients according to schedules.
• Completes insurance, disability and compensation forms.
• Interviews patients; counsels patients on billing procedures and claims.
• Requests prior authorization for hospital care/payment.
• Maintains records and files; performs financial counseling duties.
• Provides relevant insurance/financial information to Social Services and home care institutions.
• Acts as liaison between patient/family and government agencies.

Skills

Billing procedures

Interpersonal communication

Medical terminology

Data entry

Insurance verification

Education

Associate degree

Tools

Billing software

Job description

Patient Services Representative, 2027-043

The University of Connecticut Health Center is an affirmative action employer, in addition to an EEO and M/F/V/PWD/PV employer.

All employees are subject to adherence to the State Code of Ethics which may be found at www.ethics.state.ct.us .

Excellence, Teamwork, Leadership and Innovation. These are the values that define UConn Health, and we are looking for team members that share these same values. Our top-rated organization is looking to add a Patient Service Representative to our Interventional Psychiatry department. If you have a background in this field, as well as a passion for customer and patient experience, we want to hear from you.

PURPOSE OF CLASS:

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 EXERCISED:

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

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;
• Performs related duties as required.

MINIMUM QUALIFICATIONS REQUIRED

KNOWLEDGE, SKILL AND ABILITIES:

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

EXPERIENCE AND TRAINING:

General Experience:

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

Three (3) years experience related to financial assistance health programs.

SUBSTITUTIONS ALLOWED:

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

PREFERRED EXPERIENCE/QUALIFICATIONS :

• Experience with obtaining insurance authorization for treatments; conducting insurance verifications online and by phone.
• Experience with authorizing medications in clinics.
• Experience retrieving patient benefits and communicating the information to patients as needed.
• Knowledge of ICD-10 and CPT codes

SCHEDULE:

This is a full-time position, 40 hours per week, Monday - Friday with minor holidays, 8:00 am - 4:30 pm with a 30-minute unpaid meal break.

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.