Access Coordinator, Patient Access, Full Time, First Shift

UC Health (Cincinnati); United States; On-site; USD 36,000 - 54,000; Full time

Job summary

UC Health in Cincinnati seeks an Insurance Verification professional to verify patient benefits and obtain precertifications for outpatient services. You will document eligibility in Epic, manage worklists, and secure accounts to ensure maximum reimbursement.

The role requires a High School Diploma or GED and 1–2 years in a hospital or medical office setting, with preferred 3–5 years in a similar role. Join our team and contribute to efficient patient access.

Qualifications

• High school diploma or GED required.
• 1–2 years of experience in pre-certifications/prior authorizations in a hospital or medical office setting.
• Preferred: 3–5 years in a similar role.

Responsibilities

• Verify insurance coverage for outpatient services and precertifications.
• Obtain prior authorization for scheduled and high-dollar procedures.
• Document eligibility and benefits in Epic accurately.
• Organize daily worklists and prioritize tasks.
• Secure all applicable accounts in a timely manner.
• Report improvements or issues to department management.
• Perform other duties as assigned.

Skills

Communication

Attention to detail

Time management

Education

High School Diploma or GED

Tools

Epic

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.

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.

• 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.