PFAS Facilitator BH/ED

Yale New Haven Health; New Haven (CT); On-site; USD 42,000 - 56,000; Full time

Job summary

Yale New Haven Health is seeking a Patient Financial Access Facilitator to manage patient check-in/out, registration, and scheduling while assuring accurate demographic and financial information. The role requires attention to insurance eligibility and billing requirements to support timely payments and patient access.

The position emphasizes strong customer service, collaboration with clinical teams, and adherence to departmental policies.

Qualifications

• High school diploma or GED; Associate degree preferred.
• 1–2 years in a customer service role, ideally in hospital/physician office with emphasis on registration and insurance verification.
• Spanish speaking required for positions in the PCC; strong interpersonal skills.

Responsibilities

• Registration: Initiates and completes patient visit information per department protocol.
• Scheduling: Accurately schedules patient appointments per department standards.
• Insurance: Correctly documents insurance information to support proper reimbursement.
• Customer Service: Adheres to department guidelines to ensure a positive patient experience.
• Resource Management: Uses department resources and participates in team meetings to support the patient experience.
• Supports Organizational Goals: Performs functions per established policies and procedures.
• Performs other duties as assigned by Supervisor and identifies opportunities to improve Patient Access activities.

Skills

Customer service

Interpersonal skills

Spanish speaking

Education

High school diploma or GED

Associate degree preferred

Job description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Patient Financial Access Facilitator is responsible for all functions and processes related to patient check-in, check-out, registration and scheduling. Obtains and updates the patient's demographic and financial information in a sometimes demanding atmosphere utilizing multiple applications to assure timely processing of the patient visit. Performs a variety of functions including accurate patient identification while adhering to Red Flag procedures to ensure patient safety. Must stay abreast of all insurance changes and adheres to managed care requirements and all other information legislated for Health Care as it relates to the health system. Must understand the various insurance carriers' options and completes insurance entry accurately, satisfying billing requirements to ensure a payable account. Verifies eligibility of insurances, identifies and collects co-pay balances, and initiates other funding referrals as outlined by departmental policy when appropriate.

EEO/AA/Disability/Veteran

Responsibilities

• 1.Registration: Initiates and completes patient visit information in accordance with YNHH department protocol.
  • 1.1Collects necessary patient demographic and insurance information when completing the registration process.
• 2.Scheduling: Accurately and promptly schedules patient appointments per department standards.
  • 2.1Schedules patient appointments by obtaining all necessary patients demographic and insurance information. Works in collaboration with clinical team to schedule appointments according to facility schedule, staff availability and patient needs.
• 3.Insurance: Ensures appropriate financial information is accurately obtained and documented to ensure proper reimbursement to the health system.
  • 3.1Demonstrates understanding of the various third party payers and accurately completes insurance entry in order to satisfy billing requirements.
• 4.Customer Service: Follows Customer Service guidelines in accordance with YNHH department protocol.
  • 4.1Ensures smooth functioning of all processes in order to ensure a positive patient experience by acknowledging and receiving patients, physicians and visitors to the department following the YNHHS Standard of Professional Behaviors.
• 5.Resource Management: Utilizes Health System and Department resources to effectively support the patient experience.
  • 5.1Participates in designated committees, staff meetings, workgroups, and attends all in-service to support team building and communication enhancements.
• 6.Supports Organizational and Departmental Goals
  • 6.1Performs all functions in accordance with established policies and procedures.
• 7.Performs other duties as assigned by Supervisor.
  • 7.1Identifies and recommends opportunities to improve Patient Access activities.

Qualifications

EDUCATION

High school diploma or GED required. Associate degree preferred.

EXPERIENCE

One (1) to two (2) years of work experience in a customer service environment preferably in a hospital/physician office with emphasis on registration, third party insurance verification and financial clearance dealing with all aspects of medical insurance and eligibility requirements preferred.

SPECIAL SKILLS

Self-directed, well organized and exhibiting excellent interpersonal and team oriented skills with a strong ability to interpret insurance benefits and apply to hospital services. Basic computer skills and the ability to adapt to various programs/systems. Capable of balancing appropriate level of intervention and partnering with clinical staff to insure the highest quality of patient care. Spanish speaking required for positions in the PCC.