Access Coordinator

Building Location: Business Service Center

About the role

The Access Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer system, resulting in accurate claim submissions.

Responsibilities

• Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria
• Accurately identifies required insurance verification and medical documentation in accordance with payer policy
• Collaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approval
• Thoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) system
• Regularly reviews and monitors assigned work queues, identifying, and focusing on accounts with the highest financial reimbursement risk
• Adapts to urgent clinical needs while maintaining high-quality work outputs within specified timelines
• Communicates with patients as needed to facilitate medical clearance
• Develops pre-service estimates and supports pre-service collections
• Supports the review of prior authorization requests that do not initially meet criteria and works collaboratively with relevant stakeholders to resolve issues or coordinate necessary clinician-to-health plan interventions

Requirements

• 1 year of relatable healthcare experience

Preferred Qualifications

• Healthcare experience within patient care, registration, scheduling, pre-certifications/prior authorizations, collections, and medical terminology

Schedule

• Shift Rotation: Day Rotation
• Shift Start Time: 8:00 AM
• Shift End Time: 4:30 PM
• Weekends: No
• Holidays: No
• Call Obligation: No
• Possible Remote/Hybrid Option: Remote

Pay

Compensation Range: $20.20 - $30.09 per hour

Benefits

• Medical, dental, vision, life, and disability insurance, along with supplemental options
• 401(k) plan with employer contributions
• Professional development through training, tuition reimbursement, and educational programs
• Flexible scheduling and generous time off
• Wellness resources focused on physical, mental, and emotional health

Note: Benefit eligibility may vary. For full details, refer to your benefit summary or contact the HR Service Center.