Access Coordinator, Cardiology, Full Time, First Shift

UC Health (Cincinnati); Cincinnati (OH); Vor Ort; USD 26.000 - 33.000; Vollzeit

Zusammenfassung

UC Health (Cincinnati) is seeking an Access Coordinator for a full-time, first-shift role focused on verifying insurance coverage and obtaining precertifications for outpatient services to maximize reimbursement. You will interact with insurance carriers, update Epic records, and coordinate with care teams to maintain smooth patient access.

The ideal candidate has 1–2 years of Registration/Scheduling/Pre-certifications experience in a hospital or medical office setting, with strong attention to

Qualifikationen

• Registration, Scheduling, Pre-certifications/ prior authorizations experience in a hospital or medical office setting.
• 1–2 years of equivalent experience in patient access or related role.
• Strong analytical skills and attention to detail to meet productivity and quality measures.

Aufgaben

• Insurance Verification: initiates online verification or calls carriers to confirm benefits and obtain precertifications for outpatient services.
• Documentation: records eligibility, benefits and precert information in Epic accurately.
• Worklists: prioritizes daily tasks to maintain department productivity.
• Secure Accounts: ensures accounts are secured in a timely manner per standards.
• Communication: reports improvements and issues to department management.
• Other duties as assigned.

Kenntnisse

Analytical skills

Detail-oriented

Independent worker

Ausbildung

High School Diploma/GED

Jobbeschreibung

Access Coordinator, Full Time, First Shift

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.

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.

Qualifications

• Minimum Required: 1 - 2 Years equivalent experience completing Registration, Scheduling, Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment. High School Diploma/GED
• Preferred: 3 - 5 Years equivalent experience completing Registration, Scheduling, Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment.
• Desire an independent, detail-oriented worker with strong analytical skills to meet productivity and quality measures

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. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is an EEO employer.