Access Coordinator, BMT, Blood Cancer Healing Center

Job Description

UC Health is hiring a Part Time Access Coordinator for BMT/Hematology department for the dayshift. The Access Coordinator verifies insurance coverage for 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.

The Blood Cancer Healing Center is designed to be an unparalleled hub of expertise and support that will redefine care for blood cancer patients and their families. The center includes dedicated spaces for whole-person patient care, novel treatments, and basic/translational research-all in one building, all dedicated to the future of cancer care.

Responsibilities

• 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.
• 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.
• Effectively organizes prioritization of Daily Worklist task.
• Secures all applicable accounts in a timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.
• Reports improvements, problems, and changes as it relates to insurance verification to department management.
• Performs other duties as assigned.

Qualifications

• High School Diploma or GED required.
• 1 - 2 Years equivalent experience completing Registration, Scheduling, Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment.
• 3 - 5 Years equivalent experience completing Registration, Scheduling, Pre-certifications/prior authorizations in a hospital setting, medical office setting, Patient Access, or similar environment preferred.
• Excellent communication and problem-solving skills.
• A strong medical terminology / background.
• Detail oriented and able to follow complex instructions.