Patient Access Representative

The University of Connecticut Health Center is an affirmative action employer, in addition to an EEO and M/F/V/PWD/PV employer. Job Title Patient Access Representative, 2026-1355 Supervision Received Works under the general supervision of an employee of a higher grade. Supervision Exercised May lead/supervise lower level employees as assigned. Examples of Duties Utilizing knowledge of ICD-9, CPT coding and medical terminology, obtains required referral/prior authorization from insurance companies prior to date of service. Communicates with physician and medical providers regarding clinical clarifications to facilitate requests. Interviews patient via visits or phone to determine payment sources and payment arrangements. Verifies patient's benefits with insurance companies as needed. Refers uninsured and underinsured patients to financial counselors as identified. Assists in the appeals process for denied claims. Documents daily activities in the computer system. Communicates with departments regarding authorization status. Researches requests for patient information and prepares reports and correspondence. Maintains records and files; may perform receptionist/triage duties. Performs related duties as required. Minimum Qualifications Required Knowledge, Skills and Abilities Working knowledge of a managed care environment, third party reimbursement, hospital and community services and hospital and health care policies. Basic knowledge of medical coding and medical terminology. Skill in articulating information in a clear and informative manner to patients, family members, insurers, staff and other relevant parties. Organizational skills. Ability to gather and record all appropriate information that provides for the accurate billing and collection for provided services. Ability to interpret basic Medicare/Medicaid and commercial insurance industry regulations. Experience and Training General Experience Three (3) years of experience processing medical pre-authorization, insurance verification and/or medical claims for healthcare services. Substitutions Allowed Associate's degree and one (1) year of the experience as listed above may be substituted for the general experience. Schedule Full-time, 40 hours per week, Monday through Friday from 8:30 am to 5:00 pm. #J-18808-Ljbffr