Access Coordinator, Cardiology, Full Time, First Shift

UC Health • Cincinnati, OH

7d

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 to help ensure maximum reimbursement to the organization.

The coordinator verifies patient benefits and precertifies outpatient services, ensures authorizations are obtained for scheduled and non-scheduled high-dollar procedures, follows up on missing information or problem accounts, and documents eligibility, benefits, and precertification information in the appropriate Epic database fields. The role also prioritizes daily worklist tasks, secures accounts within the established due diligence timeframe while meeting productivity and quality standards, and communicates trends, issues, and improvement opportunities to management. Other duties may be assigned.

Requirements

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

Nice To Haves

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

Responsibilities

• Initiate online verification and/or contact insurance carriers and plan administrators by phone to verify patient benefits and precertify outpatient services.
• Ensure authorization is obtained for all scheduled and non-scheduled high-dollar outpatient procedures.
• Follow up on missing data and problem accounts.
• Document complete and accurate eligibility, benefits, and precertification information in the 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 within the timeframe defined by 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