Access Coordinator, Insurance Verification

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

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.

Qualifications

Other duties as assigned - Performs other duties as assigned.

Education: High school diploma, associate's degree preferred or equivalent combination education and experience.

Years of Experience: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment.

Required Skills and Knowledge: Analytical skills. Computer Literacy - use of multiple systems LastWord, OfficeMed, Envoy, OMNI, HDS, IDX, QUADRIS, Florida Shared, Ability to use Internet Access and utilize third party payor systems for eligibility and verification. Knowledge of health insurance coverage and requirements and payor contracts. Excellent communication skills, problem solving ability to deal with customers who are often adversarial. Typing (minimum of 35 words per minute)