Access Coordinator, Revenue Cycle, Full Time, First Shift

UC Health; Cincinnati (OH); On-site; USD 42,000 - 52,000; Full time

Job summary

UC Health is seeking a detail-oriented Insurance Verification professional to support pre-certifications and ensure accurate benefit verification for outpatient services. You will work within our academic health system environment and leverage Epic for data capture.

Ideal candidates will have High School Diploma or GED and 1-2 years' related experience, with 3-5 years preferred. Join a team committed to equitable care and best-practice reimbursement processes.

Qualifications

• Minimum required: High School Diploma or GED.
• Minimum required: 1-2 years' experience completing pre-certifications/prior authorizations in hospital/medical office/Patient Access.
• Preferred: 3-5 years' experience in a hospital/medical office setting handling pre-certifications.

Responsibilities

• Insurance verification and pre-certification for outpatient services to ensure authorization.
• Document data related to eligibility and benefits in Epic fields and report trends to management.
• Manage daily worklists to prioritize tasks and maintain productivity.
• Secure accounts in a timely manner following Due Diligence standards.
• Communicate improvements and issues related to verification to department leadership.
• Perform other duties as assigned.

Skills

Pre-certifications/prior authori

Education

High School Diploma or GED

Job description

Job Description

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.

Job Description

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 committed to providing an inclusive, equitable and diverse place of employment.
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

Cincinnati, OH, 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.

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.