Access Coordinator, Immunology - Insurance Verification Pro

UC Health (Cincinnati); Lake Township (OH); Presencial; USD 38.000 - 58.000; Jornada completa

Descripción de la vacante

UC Health is seeking an Insurance Verification professional to obtain pre-certifications and verify patient benefits. You will ensure coverage for outpatient services, document data in the Epic system, and manage daily worklists while communicating with management about issues and improvements.

The role requires a high school diploma and 1–2 years of experience in verification or prior authorizations in healthcare settings; 3–5 years is preferred.

Formación

• High School Diploma or GED.
• 1-2 years of experience completing pre-certifications/prior authorizations in a hospital, medical office, Patient Access or similar environment.
• Preferred: 3-5 years of related hospital or medical office experience.

Responsabilidades

• Initiates online verification and/or makes phone contact with Insurance Carriers to verify patient benefits.
• Ensures precertification/authorization is obtained for high-dollar outpatient procedures.
• Documents complete eligibility, benefits and precert information in Epic databases.
• Effectively organizes prioritization of Daily Worklist tasks.
• Reports improvements, problems and changes to department management.
• Performs other duties as assigned.

Educación

High School Diploma or GED

Descripción del empleo

UC Health is seeking an Insurance Verification professional to obtain pre-certifications and verify patient benefits. You will ensure coverage for outpatient services, document data in the Epic system, and manage daily worklists while communicating with management about issues and improvements.

The role requires a high school diploma and 1–2 years of experience in verification or prior authorizations in healthcare settings; 3–5 years is preferred.