Access Coordinator (Remote)

Essentia Health•Brainerd, MN

2d•$18 - $26•Remote

About The Position

The Access Coordinator is responsible for gathering necessary insurance information and accurately entering it into the computer system to ensure a successful claim submission. This role may involve various tasks including insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, and communicating with patients when services are not covered. Additionally, the role may include pre-service collections.

Requirements

1-year experience in a healthcare or health plan setting.
Ability to work in a high volume/fast-paced environment.
Referral and authorization knowledge.
1-year DME experience.
1-year collections experience.
Experience with pre-service or financial counseling.

Responsibilities

Gather necessary insurance information.
Translate patient/guarantor information into the computer system for accurate claim submission.
Perform insurance verification.
Select ICD 10 or HCPC codes.
Obtain prior authorization and pre-certification.
Determine medical necessity.
Process referrals.
Obtain workers compensation authorization.
Provide service estimates.
Communicate with patients regarding services not covered.
Conduct pre-service collections.