Access Coordinator, PBO Authorizations, Full Time, First Shift

UC Health • Cincinnati, OH

3d

About The Position

The Access Coordinator, PBO Authorizations verifies insurance coverage for clinic patients receiving diagnostic testing, chemotherapy, radiation therapy, and/or surgical procedures. The role uses online modalities and phone contact with insurance carriers and plan administrators to verify eligibility and obtain prior authorizations or predeterminations, helping ensure maximum reimbursement to UC Health.

The coordinator records eligibility, benefit, and precertification information in Epic, prioritizes daily worklist tasks, follows up on missing information or problem accounts, and secures applicable accounts within established due-diligence timelines while meeting productivity and quality standards. The role also reports trends, issues, and improvements to department management and performs other duties as assigned.

Requirements

• High school diploma or GED.
• 1–2 years of equivalent experience completing precertifications or prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment.

Nice To Haves

• 3–5 years of equivalent experience completing precertifications or prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment.

Responsibilities

• Initiate online verification and/or contact insurance carriers and plan administrators by phone to verify patient coverage eligibility and precertify outpatient services ordered or performed by University of Cincinnati Physicians' Internal Medicine providers.
• Ensure authorization is obtained for scheduled and non-scheduled high-dollar outpatient procedures to meet UC Health financial clearance and insurance reimbursement requirements.
• Follow up on missing data and problem accounts.
• Document complete and accurate eligibility, benefits, and precertification information in appropriate Epic database fields.
• Inform management of trends involving incomplete data, registration issues, and related matters.
• Organize and prioritize daily worklist tasks effectively.
• Secure applicable accounts in a timely manner according to the Due Diligence Standard while meeting department productivity and quality standards.
• Report improvements, problems, and changes related to insurance verification to department management.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED