Access Coordinator
Essentia Health•Duluth, MN
•$20 - $29•Remote
About The Position
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.
Requirements
- 1 year of relatable healthcare experience
Nice To Haves
- Healthcare experience within patient care, registration, scheduling, pre-certifications/prior authorizations, collections, and medical terminology
Responsibilities
- 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
Benefits
- medical, dental, vision, life, and disability insurance
- supplemental options
- 401(k) plan with employer contributions
- training, tuition reimbursement, and educational programs
- flexible scheduling
- generous time off
- wellness resources focused on your physical, mental, and emotional health
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
