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Access Coordinator

InsuranceInsuranceFull TimeRemoteMid LevelTeam 10,001+Since 2004H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

7 days ago

Salary

$20 - $29 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Access Coordinator

Essentia Health

Role Description The Access Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer system, resulting in accurate claim submissions. - Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria. - Accurately identifies required insurance verification and medical documentation in accordance with payer policy. - Collaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approval. - Thoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) system. - Regularly reviews and monitors assigned work queues, identifying and focusing on accounts with the highest financial reimbursement risk. - Adapts to urgent clinical needs while maintaining high-quality work outputs within specified timelines. - Communicates with patients as needed to facilitate medical clearance. - Develops pre-service estimates and supports pre-service collections. - Supports the review of prior authorization requests that do not initially meet criteria and works collaboratively with relevant stakeholders to resolve issues or coordinate necessary clinician-to-health plan interventions. Qualifications - 1 year of relatable healthcare experience. Requirements - Healthcare experience within patient care, registration, scheduling, pre-certifications/prior authorizations, collections, and medical terminology. Benefits - Comprehensive medical, dental, vision, life, and disability insurance. - Supplemental options to fit your needs. - 401(k) plan with employer contributions. - Professional development through training, tuition reimbursement, and educational programs. - Flexible scheduling and generous time off. - Wellness resources focused on physical, mental, and emotional health.

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