Access Coordinator - Remote

Building Location:Business Service Center

Department:47190 Pre-Service Authorization

Job Description: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.
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.
Work Experience:
• 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 below.
• Pre-Service DME Coordinator (47860): 1-year DME experience or meet educational requirements listed below.
• Pre-Service Financial Coordinator (46180): 1-year collections experience, experience with pre-service or financial counseling or meets educational requirements listed below.
• 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 below.

Education Qualifications:

Required Qualifications:

• 1 year of relatable healthcare experience

• 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 below. 

• Pre-Service DME Coordinator (47860): 1-year DME experience or meet educational requirements listed below. 

• Pre-Service Financial Coordinator (46180): 1-year collections experience, experience with pre-service or financial counseling or meets educational requirements listed below.

• 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 below.

Preferred Qualifications:

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

Licensure/Certification Qualifications:

none

FTE:1

Possible Remote/Hybrid Option:

RemoteShift Rotation:Day Rotation (United States of America)

Shift Start Time:Days

Shift End Time:Days

Weekends:

Holidays:No

Call Obligation:No

Union:DC USWA Main & Neighborhoods (DCUMN)Union Posting Deadline:08/26/2024