Access Coordinator, BMT Infusion, Full Time, First Shift

UCHealth • Cincinnati, OH

114d

About The Position

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. Verification of insurance coverage utilization different on-line modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.), along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

Requirements

• High School Diploma or GED.
• 1 - 2 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment.

Nice To Haves

• 3 - 5 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment.

Responsibilities

• Initiates on-line verification and/or makes phone contact with Insurance Carriers and Plan Administrators to verify patient benefits to precert all outpatient services are secure.
• Ensures authorization has been obtained for all scheduled and non-scheduled high dollar outpatient procedures.
• Follows up on missing data or problem accounts.
• Documents complete and accurate data relating to all necessary eligibility, benefits and precertification information in appropriate Epic database fields.
• Informs management of trends of incomplete data, registration issues, etc.
• Effectively organizes prioritization of Daily Worklist task.
• Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.
• Reports improvements, problems and changes as it relates to insurance verification to department management.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED