Access Coordinator, Patient Access, Full Time, First Shift

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

Job summary

UC Health in Cincinnati, OH seeks an Insurance Verification/Pre-certification Associate to confirm patient benefits and obtain precertifications for outpatient services. The role requires clear communication with insurance carriers and accurate data entry in Epic.

The ideal candidate has high school credentials and 1–2 years of related experience, with a preference for 3–5 years in similar settings. This is a full-time, on-site position supporting the organization’s mission to advance healing.

Qualifications

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

Responsibilities

• Initiates online verification or calls Insurance Carriers/Plan Administrators to verify benefits and precert outpatient services.
• Documents eligibility, benefits and precertification data in Epic accurately and timely.
• Maintains daily worklists and prioritization to meet department standards.
• Secures all applicable accounts with due diligence and maintains productivity.
• Communicates improvements or issues to department management.

Skills

Pre-certifications / prior authorizati

Epic system

Insurance carrier communication

Education

High School Diploma or GED

Tools

Epic system

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.

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.

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.

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.