Connecticut Children's · 1 day ago
Professional Billing Registration - Patient Access Associate II - Per Diem
Connecticut Children’s is a dedicated health system for children in Connecticut, offering specialized medical care across various pediatric specialties. The Patient Access Associate II role involves coordinating complex functions within the Patient Access department, handling patient registrations, scheduling appointments, and ensuring financial clearance for services.
Health CareHospitalMedical
Responsibilities
Following department protocol provides general receptionist, secretarial support, or Health Unit Coordinator functions
Performs a variety of administrative support activities in support of the unit operations
Responds with tact and discretion to the needs of patients and families
Maintains privacy and confidentiality
Assists with staffing assignments and scheduling as requested
Collects and enters accurate demographic, guarantor and financial data for Emergency Department, Inpatient and Outpatient cases and Physician Practice Office appointments
Verifies all required insurance and billing information and uses the proper payer plan codes
Generates all necessary forms for patient visit and obtains patient/parent/legal guardian signature for Assignment/ Authorization and consent
Performs pre-registration for scheduled patients and registers patients upon arrival adhering to standard department procedure
Makes corrections and updates patient information in computer systems as necessary
Asks patients/families whether their visit was satisfactory and attempts to address any questions/issues prior to patient departure
Documents thorough, clear, explanatory notes regarding reasons for incomplete information at time of registration. Documents concise and understandable comments regarding patient or guarantor interaction, efforts to collect co-payments and referrals to Financial Assistance
Follows-up on open items to resolve outstanding issues and complete the file
Reviews all documentation records regarding incomplete information at time of registration, patient or guarantor interaction, efforts to collect co-payments, estimated self-pay balances and referrals to Financial Assistance
Follows up with team member responsible for resolving the open issue to provide assistance or additional training to ensure prompt completion of the file
Reviews and works assigned work queues for registration information to ensure that accounts are accurate at time of visit and or billing
Schedule complex appointments either in person or via telephone
Creates/inputs complex department provider appointments
May schedule/coordinate appointments with other areas of the hospital
As a first line representative of CT Children’s, this person must have the ability to deal compassionately and professionally with patients and families
Arrives patients for their appointment in the ADT system
Verifies demographic and insurance information at time of arrival (including securing patient financial liability at time of service)
Check out process including scheduling or rescheduling future appointments
Answer telephone and triage calls for the department
Ensure all consent and privacy forms are signed
Work directly with DCF to obtain appropriate signatures/legal guardian information
Enters routine to complex patient charges into billing system for physician or care provider visits, according to protocol
Responsible for various work queues of scheduled and/or non-scheduled appointments
Communicates with insurance companies to obtain benefits, referrals, and/or authorization requirements
Communicates with Clinical/Office staff of patient eligibility, authorization status, and need for clinical documentation
Completes chart reviews to submit all appropriate documentation to insurance companies for authorization purposes
Coordinates with third party payers regarding information necessary for appropriate financial processing of patients, including: follow-ups with primary care providers for referrals and authorizations; notifying insurance carriers of admissions; obtaining authorizations and verifying benefits eligibility
Refers patients/families to Financial Counseling for updated and/or eligibility issues
Works directly with RN, APRN, and MD level staff to notify of denials requiring further action
Coordinates with Utilization Review for status designation of Outpatient/Inpatient Admissions
Interviews patients to verify complete insurance and financial information, explain financial policies, complete appropriate financial evaluation forms
Refers patients/ families to DSS and Financial Assistance
Determines guarantor’s propensity to pay non-covered charges, as well as determine potential eligibility for financial assistance programs
Establishes financial arrangements / payment plans with patients
Identifies reason(s) for non-payment and follows-up to ensure resolution
Verifies insurance plans using the various methods available such as RTE, Web-Based, & Telecommunications
Investigates patient insurance coverage, facilitates certification, manages process to maximize payment from both commercial and managed care plans
Follows-up with team member responsible for patient account to resolve outstanding financial issues
Demonstrates knowledge of the age-related differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice
Demonstrates cultural sensitivity in all interactions with patients/families. Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the CT Children’s STANDARDS
Qualification
Required
High School Diploma, GED, or a higher level of education that would require the completion of high school, is required
5-7 years directly related experience preferred; Healthcare experience required
Intermediate knowledge of MS Word and Excel
ADT systems and Insurance Verification systems (EPIC preferred)
Knowledge of Managed Care, referral/pre-certification/ authorization process
HIPAA
Computer, typing, data entry
Excellent telephone and communication skills
Strong organizational skills
Handle a fast paced, high-volume environment
Work in a team environment alongside multiple disciplines
Provide guidance and assist in training to peers
Have crucial conversations with others/ peers
Preferred
5-7 years directly related experience preferred; Healthcare experience required
Associates Degree preferred
CHAA (Certified Healthcare Access Associate)
Company
Connecticut Children's
Connecticut Children’s is a leading pediatric academic medical center consistently ranked by our peers as among the best children’s hospitals in the nation.
H1B Sponsorship
Connecticut Children's has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2023 (2)
2022 (5)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
$0.25M2014-04-07Grant· $0.25M
Leadership Team
Recent News
Hartford Business Journal
2025-12-30
Hartford Business Journal
2025-10-31
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