Access Coordinator, Revenue Cycle, Full Time, First Shift

UC Health • Cincinnati, OH

2h • Onsite

About The Position

As the region's adult academic health system, UC Health strives for innovation and provides world-class care for not only its community but patients from all over the world. Joining the team allows individuals to develop their skills, grow their careers, build relationships with peers and patients, and help be a source of hope. UC Health is committed to providing an inclusive, equitable, and diverse place of employment.

The Access Coordinator, Revenue Cycle, is responsible for verifying insurance coverage using various online modalities for clinic patients receiving diagnostic testing (e.g., CT, MRI), chemotherapy, radiation therapy, and/or surgical procedures. The associate obtains prior authorization requests and/or pre-determinations for these services to ensure maximum reimbursement for 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 a 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
• Career Level: Mid Level
• Education Level: High school or GED