Access Coordinator (Remote)

Essentia Health•Brainerd, MN
•Remote

About The Position

Gather necessary insurance information and use expertise to translate the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission. May be responsible for some or all of the following: insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication when services are not covered, pre-service collections.

Requirements

  • 1-year experience in a healthcare or health plan setting
  • Ability to work in 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

  • Insurance verification
  • ICD 10 or HCPC code selection
  • Prior authorization
  • Pre-certification
  • Medical necessity determination
  • Referrals
  • Workers compensation authorization
  • Service estimates
  • Patient communication when services are not covered
  • Pre-service collections

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Disability insurance
  • Supplemental options
  • 401(k) plan with employer contributions
  • Training
  • Tuition reimbursement
  • Educational programs
  • Flexible scheduling
  • Generous time off
  • Wellness resources
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