Patient Access & Pre-Authorization Coordinator

UC Health; Cincinnati (OH); On-site; USD 38,000 - 48,000; Full time

Job summary

UC Health in Cincinnati, OH is seeking an Insurance Verification Specialist to support pre-certifications and authorizations for outpatient services. You will verify patient benefits, confirm coverage, and ensure accounts are accurate in Epic.

The role emphasizes collaboration with plan carriers, timely data entry, and adherence to compliance standards. Prior experience in hospital or medical office settings is preferred.

Qualifications

• Minimum requirement: High School Diploma or GED.
• 1–2 years of experience in pre-certifications/prior authorizations in a hospital or medical office setting.
• Preferred: 3–5 years of equivalent experience in pre-certifications/prior authorizations.

Responsibilities

• Initiates online verification or calls Insurance Carriers to verify benefits and precert outpatient services.
• Ensures authorization is obtained for high-dollar outpatient procedures.
• Follows up on missing data or problem accounts.
• Documents eligibility, benefits and precertification data in Epic.
• Organizes daily worklists and maintains productivity and quality.
• Secures accounts per Due Diligence standards and communicates with management.

Skills

Insurance Verification

Prior Authorization

Data Entry

Epic

Education

High School Diploma or GED

Tools

Epic

Job description

UC Health in Cincinnati, OH is seeking an Insurance Verification Specialist to support pre-certifications and authorizations for outpatient services. You will verify patient benefits, confirm coverage, and ensure accounts are accurate in Epic.

The role emphasizes collaboration with plan carriers, timely data entry, and adherence to compliance standards. Prior experience in hospital or medical office settings is preferred.