Access Coordinator
Job Description:
Gather necessary insurance information, use expertise to translate the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission.
May be responsible for some or all of the following: insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication when services are not covered, pre-service collections.
Education Qualifications:
Educational Requirements:
Pre-Service Authorizations Coordinator only (47190): Graduate of LPN, Medical Secretary, Health Unit Coordinator, Medical Assistant, Paramedic, EMT, Pharmacy Tech, General Associate Degree program or similar
Required Qualifications:
Pre-Service Authorizations Coordinator (47190):
1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed above
Pre-Service DME Coordinator (47860):
1-year DME experience or meet educational requirements listed above
Pre-Service Financial Coordinator (46180):
1-year collections experience, experience with pre-service or financial counseling or meets educational requirements listed above
Population Health Authorization Coordinator (46090):
1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed above
Licensure/Certification Qualifications:
No additional requirements.
FTE
1
Shift Rotation
Day Rotation (United States of America)
Shift Start Time
0800
Shift End Time
1630
Pay Range
$18.
67 - $27.
81 / hour
The approximate base compensation range is posted, but the actual offer will reflect our total compensation and benefits package.
The offer will be determined by a number of factors including the selected candidate’s experience, knowledge, skills, abilities, FTE, as well as internal equity among our team.
Weekends
NO
Union
DC USWA Main & Neighborhoods (DCUMN)
Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check.
Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.
Essentia Health EEO:
Essentia Health is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.