Access Coordinator, Insurance Verification

Job Description

Verification of insurance coverage utilization different on-line modalities for clinic patients. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

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 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. Other duties as assigned - Performs other duties as assigned

Qualifications

Minimum Required: High School Diploma/GED