Access Coordinator, Cardiology, Full Time, First Shift

UC Health • Cincinnati, OH

8d

About The Position

The Access Coordinator verifies insurance coverage for clinic patients receiving diagnostic testing, such as CT and MRI, as well as chemotherapy, radiation therapy, and surgical procedures. The role obtains prior authorizations and/or pre-determinations for these services to support maximum reimbursement to the organization.

The coordinator verifies patient benefits through online modalities or direct contact with insurance carriers and plan administrators, ensures authorization for scheduled and non-scheduled high-dollar outpatient procedures, documents eligibility, benefits, and precertification information in Epic, and follows up on missing data or problem accounts. The position also prioritizes daily worklists, secures applicable accounts in a timely manner while meeting productivity and quality standards, and reports insurance-verification improvements, problems, and changes to department management.

Requirements

• 1–2 years of equivalent experience completing registration, scheduling, precertifications, or prior authorizations in a hospital, medical office, Patient Access, or similar setting.
• High school diploma or GED.
• Ability to work independently and with attention to detail.
• Strong analytical skills to meet productivity and quality measures.

Nice To Haves

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

Responsibilities

• Verify patient benefits online or by contacting insurance carriers and plan administrators, and initiate precertification for outpatient services.
• Ensure authorization is obtained for scheduled and non-scheduled high-dollar outpatient procedures.
• Follow up on missing data and problem accounts.
• Document accurate eligibility, benefits, and precertification information in the appropriate Epic database fields.
• Inform management of trends in incomplete data and registration issues.
• Organize and prioritize daily worklist tasks.
• Secure applicable accounts in a timely manner according to the Due Diligence Standard while maintaining 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
• Education Level: High school or GED