Access Coordinator, Barrett Infusion, Fill Time, First Shift

UC Health; Cincinnati (OH); On-site; USD 36,000 - 48,000; Full time

Job summary

UC Health in Cincinnati seeks an Insurance Verification Associate to confirm patient benefits for outpatient tests (CT/MRI) and related procedures and to obtain precertification. You will verify coverage, contact carriers as needed, and document all details in Epic.

Responsibilities include maintaining accurate eligibility records, prioritizing daily worklists, and communicating issues to management while supporting workflow efficiency and high-quality patient access processes.

Qualifications

• Minimum education: High School Diploma or GED.
• 1–2 years of experience in pre-certifications/prior authorizations in hospital or medical office settings.
• Preferred: 3–5 years of experience in pre-certifications/prior authorizations in similar environments.

Responsibilities

• Insurance verification via on-line or phone with carriers and plan admins to verify benefits for outpatient services.
• Ensure prior authorization / precertification is obtained for high-dollar outpatient procedures.
• Maintain effective daily worklists and data quality in the system.
• Document eligibility, benefits and precertification data in the Epic database.
• Communicate improvements and issues to department management.
• Perform other duties as assigned.

Job description

Job Description

Verification of insurance coverage utilization different on-line modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.),along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

Verification of insurance coverage utilization different on-line modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.),along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

Location

United States

Qualifications

• Minimum Required: High School Diploma or GED.
• Minimum Required: 1 - 2 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment.
• Preferred: 3 - 5 Years equivalent experience completing Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access or similar environment.

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching—a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world.

UC Health is an EEO employer.

Responsibilities

• Insurance Verification: 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.
• Documentation: 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.
• Worklists: Effectively organizes prioritization of Daily Worklist task.
• Secure Accounts: Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.
• Communication: Reports improvements, problems and changes as it relates to insurance verification to department management.
• Other Duties As Assigned: Performs other duties as assigned.